How to Legally Speak on Behalf of a Loved One: POAs, Releases, and Permissions

How to Legally Speak on Behalf of a Loved One: POAs, Releases, and Permissions

When caring for a loved one—especially someone who is ill, disabled, or aging—there’s often a moment when you need to speak for them. Whether it’s calling an insurance company, talking to a doctor, or handling finances, you need legal authority to do so. Without it, you may hit frustrating walls due to privacy laws like HIPAA or banking regulations.
This guide explains the key tools that let you legally advocate for someone you love.


1. Why Legal Authorization Matters

Even if you’re the spouse, parent, or child, privacy laws prevent professionals from sharing information without formal permission.
These laws are meant to protect privacy—but they can also block caregivers from helping in emergencies or managing complex medical or insurance issues.
Having the right documentation in place early helps avoid delays, denials, or confusion.


2. HIPAA Releases: Access to Medical Information

A HIPAA Authorization Form (Health Insurance Portability and Accountability Act release) allows a patient to share their medical information with named individuals.

What It Does:

  • Lets healthcare providers talk to you about diagnoses, medications, and treatments.

  • Allows you to request medical records and bills.

  • Does not give you decision-making power—only access.

What to Include:

  • The full name and date of birth of the patient.

  • The specific person(s) authorized to receive information.

  • Which types of information can be shared (e.g., billing, lab results, mental health).

  • An expiration date or “until revoked” clause.

  • Signatures and dates.

Tip: Each provider may require their own HIPAA release—keep copies with your records and in your phone.


3. Power of Attorney (POA): Making Decisions

A Power of Attorney grants legal authority for someone to act on another’s behalf.
There are several types:

TypeWhat It CoversWhen It Takes Effect
Medical (Healthcare) POAMedical decisions if the person becomes unable to decide for themselvesWhen a physician certifies incapacity
Durable POABroader financial and personal affairsImmediately or upon incapacity, depending on how it’s written
Limited or Specific POAA narrow purpose (e.g., handling a single insurance issue or one account)Only for that task, then expires

Why It’s Important:

Without a POA, family members may need court guardianship to act—an expensive, time-consuming process.

Tip: POAs must be signed, dated, and witnessed or notarized depending on your state law. Always check your state’s form requirements.


4. Representative and Authorization Forms for Insurance and Government Agencies

Each agency (Medicare, Medicaid, Social Security, private insurers) has its own version of an Authorization to Release Information or Appointment of Representative (AOR) form.

Common Examples:

  • Medicare Form CMS-1696 – Appoints a representative to handle appeals or coverage issues.

  • SSA-3288 – Authorizes someone to receive information from the Social Security Administration.

  • Insurance company release forms – Allow someone to speak to member services or handle appeals.

Tip: These forms are case-specific. Keep copies of all submissions and note when they expire—some are valid only for one year.


5. Other Useful Legal Documents

  • Living Will / Advance Directive – Outlines your loved one’s wishes for care if they can’t communicate.

  • Financial Authorization – Allows access to billing or payment portals.

  • Release of Information (ROI) – A flexible form often used by advocates or case managers to coordinate care across providers.

At AKG Advocacy, our “Release of Information” form helps clients give consent for us to speak to insurers, doctors, and pharmacies on their behalf—without overstepping legal boundaries.


6. Tips for Caregiver Advocates

  • Keep all signed documents organized in a caregiver binder or digital folder.

  • Review and renew forms annually or after major life changes.

  • Carry copies to appointments and keep photos on your phone.

  • Use clear, respectful communication when presenting documents—staff may need to verify them.

  • Always ask, “What form do you need to allow me to help?” rather than assuming access.


7. When to Seek Legal Help

If your loved one:

  • Has complex medical or financial needs,

  • Lacks mental capacity to sign documents, or

  • Faces disputes over guardianship or authority —
    consult an elder law attorney or disability rights attorney. They can ensure your forms meet state requirements and protect everyone involved.


8. Advocate’s Checklist

✅ HIPAA Release signed and on file
✅ Power of Attorney (medical and/or financial)
✅ Medicare or insurance authorization forms
✅ Copy of state-issued ID for both parties
✅ Copies stored in binder and digitally
✅ Renew or review annually

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