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Medical Records Transfer Form

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... Read more

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  • What is a Medical Records Transfer Form?

    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.



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

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