Get Authorization To Release Medical Records - Ministry Of Health - Health Gov Bc

This guide provides detailed instructions on how to fill out the Authorization To Release Medical Records form from the Ministry of Health in British Columbia. By following these steps, you can effectively complete your request for medical records online.

Follow the steps to complete the Authorization To Release Medical Records form.

1. Click 'Get Form' button to access the form you need for requesting medical records.
2. In the client information section, provide the client's legal last name, first name, personal health number, birthdate, and any other applicable health numbers. Use capital letters only.
3. If you are a power of attorney or legal guardian, fill in your legal last name, first name, and second name. Remember to include any supporting legal documentation indicating your relationship.
4. Next, indicate the type of records you are requesting from the available options: medical history only, medical history with diagnostic code, or drug history. Additionally, state the reason for your request such as slip and fall, motor vehicle accident, or other.
5. Specify the requested dates of records by entering the start date and end date. If applicable, include the date of accident and filing or reference number.
6. Fill in the name and address of the person or company where the records should be sent, including all parts of the address carefully.
7. If you are making a third-party request (excluding your lawyer), provide the name and address of the third party for invoicing purposes, as there may be a fee applicable.
8. In the client authorization section, the client, power of attorney, or legal guardian must sign to authorize the release of records. Include a witness signature and print the witness's name.
9. Finally, review all details for accuracy. Once confirmed, you may save changes, download, print, or share the form as needed.

Complete your Authorization To Release Medical Records form online today for a smooth processing experience.