HIPAA Patient Authorization Forms

To download an authorization form, please select the appropriate link below.  All forms are formatted in PDF files and can be downloaded for free with Adobe Acrobat Reader. 

Medical Releases:

• VFS Medical Information Release (MIR) Form - For VFS Pilot Clients
• NATCA Medical Information Release (MIR) Form - For NATCA Members
• Aviation Medicine Advisory Service Medical Information Release (MIR) Form - Only for ALPA Pilot members

Other Medical Releases:

• VFS/FAPA HIMS Medical Information Release (MIR) Form - Only for FAPA HIMS Program