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Get Merging Patient Records Request Form - Healtheconnections
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How to fill out the Merging Patient Records Request Form - HealtheConnections online
Filling out the Merging Patient Records Request Form is a straightforward process that allows users to combine patient records seamlessly. This guide provides a clear and comprehensive overview of each section, ensuring an efficient experience in completing the form online.
Follow the steps to accurately complete the merging patient records request form.
- Press the ‘Get Form’ button to access the Merging Patient Records Request Form and open it for editing.
- Begin by entering the participant organization name in the designated field at the top of the form.
- In the section labeled 'Patient record to be merged', provide the first and last name of the patient. Also, include the patient's date of birth and medical record number (MRN) in the corresponding fields.
- Next, move to the section titled 'Patient record merging into'. Here, input the first and last name of the patient whose record will remain. Again, fill in their date of birth and MRN details as required.
- Ensure the RHIO Administrator signature is included at the bottom of the form, along with the date of completion.
- Once all fields are accurately filled, you can save any changes made to the form. Options to download, print, or share the form will also be available for your convenience.
Complete your Merging Patient Records Request Form online today for a seamless record management experience.
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