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Get Records Request Form
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How to fill out the Records Request Form online
Gathering access to your medical records is an important process, and understanding how to fill out the Records Request Form correctly can help facilitate this request. This guide provides clear steps to help you navigate the form online with ease.
Follow the steps to complete the Records Request Form online
- Click ‘Get Form’ button to obtain the Records Request Form and open it in the editor.
- Begin by entering your full name in the specified field. Include any former names you may have used that might be relevant to your medical record.
- Next, provide your current and any former addresses, ensuring to include the dates of change for the former address.
- Add your date of birth and NHS number, if known. This information assists in uniquely identifying your record within the system.
- Include your contact phone number, including the area code, and your email address, which is optional but recommended for easier communication.
- In the section regarding what you are applying for, tick the appropriate box for either viewing or obtaining copies of your health records. Acknowledge that a fee may apply.
- Although you do not need to provide a reason for your request, if you wish to assist the Practice in processing your request efficiently, detail the relevant periods and specific elements of your health records you require.
- Indicate whether you or an authorized representative is applying on your behalf, and if applicable, provide the representative's details, including their name, address, and contact information.
- Sign the application, print your name, and indicate the date. This signature certifies your request.
- Review all the information you have provided for accuracy. After ensuring everything is correct, you can save the changes, download, print, or share the completed form as needed.
Complete your Records Request Form online today to gain access to your important health information.
When responding to a request for records, review the Records Request Form carefully and determine if you can fulfill the request. Ensure you communicate promptly and maintain transparency. If there are any limitations, inform the requester clearly about the reasons for any redactions or deletions in the records.
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