Assignment of Claim for Damages

Don't leave the hospital open to additional claims when settling a claim from a patient. Get the patient to sign this Release of Damages Claim as a condition of the settlement.

• The Release form is for medical damages claims in the United States.
• The patient releases the hospital from its present claim and from any future claims for damages, costs, expenses or compensation with respect to treatment the patient received in the hospital.
• The release is documentary evidence of full and complete settlement of the claim, and is intended to avoid litigation.
• This is a reusable legal form. When you purchase it, you can download it, save it, print it, use it as often as you like.