How do I complete the Medical Records Authorization form?

How do I complete the Medical Records Authorization form?

  • The form must be filled out and signed to process the request.
  • Include dates of service, physician, specialty, and type of information, for example: Consultation, Operative reports, Pathology, Labs, etc.
  • If no dates are specified, the last year of information will be provided.

Did you know: By specifying exactly what you need or by selecting Medical Record Abstract, your request may be processed much quicker!

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