Get Thcf Medical Release Form (pdf) - The Hemp And Cannabis ...

Filling out the THCF Medical Release Form is a straightforward process that allows you to authorize the disclosure of your medical records for cannabis certification. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to successfully fill out the form online.

1. Click the ‘Get Form’ button to access the THCF Medical Release Form and open it in your preferred PDF editor.
2. In the patient information section, fill in your full legal name, date of birth, and telephone number. Be sure to use the same name as it appears on your legal identification.
3. Under the authorization section, specify the doctor or clinic that will be releasing your medical information by entering their name and fax number.
4. Indicate the medical condition(s) for which the information will be used. This information is necessary for continuity of care.
5. Next, specify which medical records you authorize for release by initialing next to the corresponding items, such as clinician office chart notes, diagnostic imaging reports, and any specialized records like HIV/AIDS or mental health records.
6. If you consent to the faxing of your medical records, mark the corresponding box. Note that the confidentiality of faxed materials cannot be guaranteed.
7. Enter the date you are completing the form and provide your signature at the bottom of the document. Remember, this authorization will expire 90 days from the date of signing unless revoked earlier.
8. Review all the information provided for accuracy before saving your changes. You can then download, print, or share the form according to your needs.

Complete your documentation online today to ensure timely access to your medical records.