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Medical Records Transfer Form

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Sample Medical Records Transfer Form Form Template
Medical Records Transfer Form Basics

This document provides a form for you to authorize the transfer of medical records from one health care provider to another.

Use the Medical Records Transfer Form document if:

  • You have a new doctor or change doctors.
  • You move to a new location.
  • You need to transfer hospital or nursing home records.
  • You need to transfer certain records to a specialist.


Sample Medical Records Transfer Form

More than just a template, our step-by-step interview process makes it easy to create a Medical Records Transfer Form.

Save, sign, print, and download your document when you are done.

This document is sometimes called an Authorization to Transfer Medical Records.




Other names for this document: Medical Records Release Form, Authorization to Release Medical Records

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