Free Hawaii HIPAA Release

In Hawaii, a HIPAA release names who may receive your records and, as the state requires, names HIV/AIDS-related information and reproductive health information expressly before a provider releases them.

Progress0%

Your State and Your Name

The person whose records the authorization releases. Hawaii regulates 2 of the five sensitive categories above the federal rule; the authorization carries each rule.

Your State*

First Name*

Middle Name

Last Name*

Email Address*

Street Address*

City*

State*

ZIP Code*

FREE & PRIVATE: This form is free—no account or credit card required. Your document contents and generated PDF never leave your browser—SimplyTrust does not transmit or store them. Contact details you provide (name, email, phone, state) are transmitted only to send the updates you agree to receive at download. You are responsible for saving your completed document.

SELF-HELP SERVICE: SimplyTrust provides a self-help document preparation service. We are not a law firm and cannot provide legal advice, select forms for you, or tell you how to complete forms. Our role is limited to providing a platform where you input your own information into document templates.

NOT LEGAL ADVICE: This document was created entirely based on your selections. SimplyTrust does not review, analyze, or verify your entries, nor do we verify your identity, capacity, or authority to act. You are solely responsible for determining whether this document meets your needs and for completing all required execution formalities (signatures, witnesses, notarization, or recording) in accordance with your state's laws. For any legal questions, consult a licensed attorney in your state.

A written authorization under the federal privacy rule that lets the providers and health plans holding your records disclose them to the people you name. It is the same document as a medical records release or an authorization to release health information. Federal law sets what it must contain: what is released, to whom, for what purpose, an expiration date or an expiration event that relates to the individual, your signature and the date, and the exceptions to the right to revoke and a description of how the individual may revoke the authorization.

Hawaii regulates HIV/AIDS-related information and reproductive health information above the federal rule. The authorization names HIV/AIDS-related information and reproductive health information expressly, as the state requires before a provider releases them. For reproductive health information, the recipient's redisclosure notice prints in the words the statute prescribes.

Anyone: a spouse or partner, an adult child, a parent, a friend, an attorney, a caregiver, an office. Each is named by name, with a relationship and, where you give one, an address a provider may send records to. The people you name receive copies and information; the authorization gives them no power to make decisions, which is the healthcare power of attorney's work.

Federal law requires an expiration date or an expiration event that relates to the individual. The prepared authorization ends when you revoke it in writing or at your death, or on a date you choose if you set one. You revoke it by writing to each provider that received it; the one exception is a disclosure already made, where the covered entity has taken action in reliance thereon.

Psychotherapy notes: federal law requires an authorization for those alone, since an authorization for a use or disclosure of psychotherapy notes may only be combined with another authorization for a use or disclosure of psychotherapy notes. Substance abuse treatment records held by a federally assisted program follow their own federal consent rule the same way. The provider that holds those records supplies its form; this authorization covers everything else in your record, or everything except the categories you exclude.

The HIPAA Release in Hawaii

A HIPAA release, the authorization the federal privacy rule requires before a provider or health plan discloses your records to someone you choose, is one document under several names: a medical records release, an authorization to release health information, a HIPAA authorization. Federal law fixes its elements: what is released, to whom, for what purpose, an expiration date or an expiration event that relates to the individual, your signature and the date, and the exceptions to the right to revoke and a description of how the individual may revoke the authorization. Hawaii providers read it under that rule.

Hawaii regulates HIV/AIDS-related information and reproductive health information above the federal rule, and the prepared document carries each rule where it applies. The authorization names HIV/AIDS-related information and reproductive health information expressly in its EXPRESS CATEGORY CONSENT block, since the state requires that before a provider releases them. For reproductive health information, the redisclosure notice to the recipient prints in the words the statute prescribes.

The Hawaii rules, category by category: HIV/AIDS-related information must be named in the authorization before release. Reproductive health information must be named in the authorization before release and the recipient receives a notice in the words the statute prescribes.

The authorization is signed and dated by you alone; no witness or notary is part of the federal elements, and Hawaii adds none for this authorization. Each provider acts on the copy it receives, so a signed copy goes to each office that holds records you want released.

The authorization ends when you revoke it in writing or at your death, or on a date you choose if you set one; federal law requires an expiration date or an expiration event that relates to the individual. Revocation is a letter to each provider that received the authorization. The one exception is a disclosure already made, where the covered entity has taken action in reliance thereon.

Psychotherapy notes stay outside it: an authorization for a use or disclosure of psychotherapy notes may only be combined with another authorization for a use or disclosure of psychotherapy notes. Substance abuse treatment records held by a federally assisted program follow their own federal consent rule the same way. The people you name receive information and copies and make no decisions for you; the Hawaii healthcare power of attorney names a decision-maker and appends this same authorization for the agent.

SimplyTrust Editorial·Updated October 21, 2026

Legal Sources

Show 2 more sources

Data sourced from Hawaii statutes and official state code. How we research.

Is this your situation?

Get a complete guide for your specific circumstances.

Serious Diagnosis

A serious diagnosis changes priorities. Healthcare proxies, financial powers of attorney, and the documents that ensure your wishes are honored.

Learn more

Retirement

Retirement changes your financial picture. Healthcare directives, beneficiary reviews, long-term care planning, and protecting what you've built.

Learn more

Marriage

What married couples need in place: one joint trust or two, wills, beneficiary updates, and the spousal rights your state grants you automatically.

Learn more

New Baby or Adoption

Your family is growing. Your protection should too. Guardian nominations, trusts for minors, beneficiary updates, and the documents new parents need in place.

Learn more

Forms for Planning Your Estate in Hawaii

Free forms for planning your estate in Hawaii: a will, living trust, pour-over will, both powers of attorney, living will, and TOD deed.

Free

Healthcare Power of Attorney

Hawaii allows a choice for a healthcare power of attorney: 2 witnesses or a notary.

Get Started

Free

Financial Power of Attorney

Hawaii treats a power of attorney as durable by default, and it is signed with no witness or notary requirement.

Get Started

Free

Transfer on Death Deed

In Hawaii, a transfer on death deed is signed before a notary, then recorded with the county before the owner's death. Hawaii does not recognize a Lady Bird deed.

Get Started

Free

Living Will

In Hawaii, the living will is the Advance Health-Care Directive, a written instruction that is valid with no agent named.

Get Started

Free

Last Will and Testament

In Hawaii, a will is signed before 2 witnesses, and a self-proving affidavit signed with it lets the court admit it without witness testimony.

Get Started

All Hawaii forms

Tools for Planning Your Estate in Hawaii

Free tools for planning your estate in Hawaii: what a will or trust costs, whether you need a trust or TOD deed, and how documents are signed.

Do I Need a TOD Deed?

Hawaii authorizes transfer on death deeds: a recorded, revocable deed that passes real property at death outside probate.

Check Now

Do I Need a Vehicle TOD?

Hawaii does not offer a transfer-on-death designation on a vehicle title; a vehicle passes by will, trust, joint title, or probate.

Check Now

What Does Estate Planning Actually Cost?

An attorney-prepared revocable trust in Hawaii runs $3,900 to $5,850 and a simple will $1,218 to $2,436, against $0 to $549 up front plus a subscription with an online service.

Compare Costs

How Much Life Insurance Do I Need?

In Hawaii, four years at a public university cost about $90,456 and the cost of living is 10% above the U.S. average; the state levies an estate tax above $5,490,000.

Use Calculator

Are My Beneficiary Designations Protected?

Hawaii automatically revokes an ex-spouse as beneficiary at divorce; employer plans under ERISA follow federal rules either way, so a 401(k) beneficiary changes only by a new designation.

Check Now

How Do I Sign Estate Documents?

Find witness, notary, and remote signing requirements for all 50 states.

Check Requirements

Will My Estate Documents Transfer?

Check if estate planning documents signed in one state are valid in another.

Check Portability

How Much Does Probate Cost?

Probate on a $500,000 estate in Hawaii costs an estimated $28,206. Attorney fees run 2.3% to 3.6% of the estate under a reasonable-compensation standard.

Use Calculator

All Hawaii tools

Hawaii Estate Planning Resources

In-depth guides covering Hawaii probate laws, trust requirements, and estate planning strategies.

Free Hawaii HIPAA Release

Progress0%

The HIPAA Release in Hawaii

Free Hawaii HIPAA Release

Your State and Your Name

Is this your situation?

Serious Diagnosis

Retirement

Marriage

New Baby or Adoption

Forms for Planning Your Estate in Hawaii

Healthcare Power of Attorney

Financial Power of Attorney

Transfer on Death Deed

Living Will

Last Will and Testament

Tools for Planning Your Estate in Hawaii

Do I Need a TOD Deed?

Do I Need a Vehicle TOD?

What Does Estate Planning Actually Cost?

How Much Life Insurance Do I Need?

Are My Beneficiary Designations Protected?

How Do I Sign Estate Documents?

Will My Estate Documents Transfer?

How Much Does Probate Cost?

When you're ready, we're here.

Hawaii Estate Planning Resources

Free Hawaii HIPAA Release

Your State and Your Name