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  • Medical Records Release Form - Las Vegas Urology!

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Medical Records Release Form STAT Request ( ) DATE: TO: FAX#: Patient Name: Patient Address: DOB: SS#: Please release ( ) All Medical Records ( ) Radiology Reports ( ) Labs ( ) All Doctor Consultation.

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NEVADA. No more than $0.60 per page for paper copies of medical records.

Nevada Laws for Adults' Medical Record Retention A provider shall retain the health care records of patients as part of the regularly maintained records of the custodian for 5 years after their receipt or production.

Call the Health Information Management department, at one of the following facilities, where you were or will be treated: Centennial Hills Hospital Medical Center: 702-629-1300. Desert Springs Hospital Medical Center: 702-388-4580. Henderson Hospital: 702-963-7000. Spring Valley Hospital Medical Center: 702-853-3189.

The fastest way to obtain a birth or death record is ordering online through Vitalchek.com or by phone through Vital Chek at 877-456-5410. You may schedule an advanced appointment at our Carson City office.

If you want your medical records, please contact your medical provider. To request we send a copy of your billing records to you, please use the Recipient Request to Access/Obtain Copy of Protected Health Information form provided under Forms.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232