Get Transfer Of Medical Records Form For The Transfer Of Medical Records Between Medical Sections Of

Filling out the Transfer Of Medical Records Form is a vital step in ensuring your medical information is accurately transferred between medical authorities. This guide will provide clear and user-friendly instructions to help you complete the form online, step by step.

Follow the steps to successfully take care of your medical records transfer.

1. Click the ‘Get Form’ button to obtain the Transfer Of Medical Records Form and open it in your preferred editor.
2. In the 'Consent by Applicant' section, read the statement regarding the transfer of aeromedical records. You must consent to the transfer and take responsibility for any related translation or transfer fees. Be mindful that only the English language is accepted.
3. Fill in the 'Applicant = Holder' section with your details. Input your title, first name, second name, address, telephone, fax, email, date of birth, nationality, reference number, and postal information. Also, indicate the type of licenses you hold and note any restrictions or limitations associated with your license and/or medical status.
4. In the 'State of Transfer TO' section, provide the name of the receiving state or authority, along with the address, telephone number, and email for a smooth transfer.
5. Proceed to the 'State of Transfer FROM' section to detail the originating state or authority. Fill in the necessary address and contact information.
6. In the 'Signature' section, sign and date the form, confirming that the details provided are accurate and complete.
7. Complete the 'Medical history to be completed by the medical assessor of transferring authority' section as applicable. Ensure any necessary supporting documents are ready to send along with the form, including medical applications, examination reports, and summaries.
8. Finally, before submission, verify that all information is accurate and ensure your signature is present. You can then save changes, download, print, or share the completed form as needed.

Complete your transfer of medical records form online today to ensure your information is accurately managed.