Get Littleton Adventist Hospital Medical Records

Filling out the Littleton Adventist Hospital Medical Records form online is an essential step for ensuring you have access to your health information. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your request for medical records.

1. Press the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin filling out the form with your personal information. Provide your full name, email address, street address, city, state, zip code, phone number, date of birth, last four digits of your Social Security number, and driver's license or state-issued ID number.
3. In the section requesting the type of access, select either 'View Records Only' or 'Obtain Copies of Records' based on your needs.
4. Indicate the date(s) of service for which you are requesting access. Include important details such as the date of treatment or office visits.
5. If you are requesting copies, provide a reason for your request by selecting an option such as further medical care, personal use, insurance, legal, or other. If selecting 'other,' please specify.
6. In the next section, check the specific records you wish to view or obtain copies of, such as labs, ER records, operative report, or entire medical record. You may select multiple options if needed.
7. Certify that the request is made voluntarily by providing your signature and entering the date and time. If you are a legal representative, print your name and specify your relationship to the patient.
8. Complete any remaining sections required for identification verification and additional approvals, if applicable.
9. Once you have filled out all necessary fields, review your answers for accuracy. Then, proceed to save changes, download, print, or share the completed form as needed.

Begin your process of obtaining medical records online today.