Release of Records
1 min
Purpose: To ensure all patient medical records are released accurately, securely, and in compliance with HIPAA regulations.
Release of Records form allows us to receive medical records from other offices.
- Fill out information for the receiving office
- Fill out patient information
- Check off which records is requested
- Have patient sign and date
- Fill out fax cover sheet
- Send to
- Attention
- Fax number
- Check box that applies
- Fill out number of pages
- Send fax
- Once fax is confirmed scan in and file
- Make sure records are received prior to the patient's next appointment
