Sample form requesting medical records

A request for medical records form includes details about the patient, doctor, and any information regarding the medical records that are being requested. A request for medical records is used when a patient needs to be updated on the current condition of his or her health. Patients may request medical records directly from their doctors, but most often they will contact their hospital, physician office, or other caregivers in order to release the information. These forms are under the protection of the Health Insurance Portability and Accountability Act (HIPAA).

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