Get Medical Information Release Form - The Karis Group

Filling out the Medical Information Release Form from The Karis Group is a straightforward process that helps facilitate the negotiation of medical bills on your behalf. This guide will provide clear, step-by-step instructions on completing the form online to ensure your medical information is handled properly.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to obtain the Medical Information Release Form and open it in your preferred editor.
2. Enter the patient’s name in the designated field to identify the individual whose medical information is being released.
3. Provide the mailing address for the patient, including the city, state, and zip code. This information is crucial for any correspondence.
4. Fill in the date of birth using the format mm/dd/yy to accurately identify the patient's age and records.
5. Input the patient's Social Security Number (SSN) in the appropriate section to facilitate identification and processing.
6. Read through the authorization statements carefully, ensuring that you understand the scope of the information release and the confidentiality terms.
7. Sign the document in the space provided, indicating your consent for the release of medical information.
8. If the patient is a minor, a parent or legal guardian must sign in the designated area to authorize the release on their behalf.
9. Include the name of the patient and the date of signing in the specified fields to complete the documentation.
10. Once all fields are filled out accurately, you can save the changes, download, print, or share the form as necessary.

Complete your Medical Information Release Form online today to ensure your medical records are managed effectively.