The HIPPA Medical Records Release Form is used to receive a copy of your medical record(s) or to have them sent to another party. The form is commonly used when switching doctors or health care providers. Under the strict guidelines of the HIPPA law, health care providers can’t share your medical information with any third party including your parents, children, or even your spouse.
The HIPPA Medical Records Release Form requests that a health care provider share specific health information with another person or group. You might want your medical records sent to another doctor, hospital, or health care provider. The health information could be records from your medical file, rehab treatment, psychiatric visits, or anything similar.
Some states provide their own HIPPA medical records release form but you are not required to use the state form. The form below is HIPPA-compliant.
Click the link below to download the HIPPA Medical Release Form. The document is in PDF format. You can print the form and bill in the blanks. If you wish to type your information into the form, it can be converted into a fillable form using any PDF document editing software.
DOWNLOAD – HIPPA Medical Records Release Form PDF
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