Request To Release Medical Records Form. It is mandatory in most heath agencies that the form must be fully authorized notarized and verified to assure that the information being released will be used properly. The individual should call the office and ask if this is required because it will save time for the person looking for the records thereby saving time for the individual requesting.
In this case a form which lets a medical professional see your medical records. Requested on this form is voluntary. On the form you can let us know.
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The medical record is a permanent document of the history and progress of every patients medical care and is a compilation of observations and findings recorded by the patients physician and members of the hospital healthcare staff. The guidelines also allow the healthcare provider to respond to requests for records within 30 days with an additional 30 day extension for a good reason. Therefore use the Standard Form and use the How to Write section of this page in order to enter the specific fields required to complete. Medical records contain sensitive and personal information and are considered protected and confidential.