Arons Authorizations Form – Fill Out and Use This PDF

The Arons Authorization form is used in New York personal injury cases to grant defense counsel the right to request a direct interview with the plaintiff's non-party treating physician. The physician is not required to comply but may voluntarily speak with counsel about medical conditions specifically identified in the authorization. Below is a guide to understanding what the form contains and how to complete it.

What Information Does the Form Cover?

Before completing the form, review the key sections:

• Patient information: Full name and date of birth of the patient granting the authorization
• Treating physician details: Name and contact information of the non-party physician whose interview is being requested
• Conditions covered: The specific medical conditions relevant to the lawsuit that the interview may address
• Sensitive health data: Provisions regarding mental health records, alcohol and drug treatment, and HIV-related information that counsel may request access to
• Voluntary participation statement: Confirms that the treating physician is not obligated to speak with defense counsel
• Revocation rights: States the patient's right to revoke the authorization at any time before the interview takes place

How to Complete the Arons Authorization

Follow these steps to fill out and use this legal document:

1. Identify the parties: Enter the patient's full legal name, date of birth, and the case reference at the top of the form.
2. Name the treating physician: Provide the full name, specialty, and practice address of the non-party physician whose interview is being requested by counsel.
3. Define the scope: List only the medical conditions directly relevant to the personal injury lawsuit. Do not attempt to expand the scope beyond what is pertinent to the ongoing case.
4. Review sensitive data provisions: Confirm whether the authorization includes common sensitive categories such as mental health, alcohol and drug treatment, or HIV-related state. Include these only when directly relevant to the case.
5. Sign and date: The patient or an authorized representative signs and dates the form. Both the patient's counsel and the defense party should retain a copy.
6. Submit to defense counsel: Deliver the completed authorization to the requesting party. Defense counsel may then contact the non-party physician to request an interview.

Key Legal Notes for Using This Form

When completing and submitting the Arons Authorization, keep the following in mind:

• The authorization must be HIPAA compliant and written to reflect only the conditions at issue in the lawsuit
• Defense counsel cannot attempt to compel the treating physician to participate - the physician's interview response remains voluntary
• The form should not request disclosure regarding medical conditions that are not relevant to the personal injury party's claims
• Any information that defense counsel obtains through the interview must be used only for purposes stated in the authorization
• New York courts require that the form clearly identify the specific conditions covered to protect against overly broad interview requests

Related Legal and Medical Forms

You may also need these related authorization and legal documents:

• Medical Management Authorization Form
• Legal Templates
• Transcript Release Authorization Form
• General Power of Attorney