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Get Patient Request To Access Health Records
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How to fill out the Patient Request To Access Health Records online
Accessing your health records is an important step in managing your health information. This guide provides clear instructions on how to fill out the Patient Request To Access Health Records form online, ensuring you can easily complete the process to access your medical information.
Follow the steps to successfully fill out your form.
- Press the ‘Get Form’ button to obtain the form, and open it in your preferred digital editor.
- Complete the patient details section by filling in your surname, given names, maiden name (if applicable), date of birth, sex, address, suburb, state, phone, mobile, Medicare number, pension number (if requesting a discount), and postcode.
- If the requestor is different from the patient, fill out the requestor's details, including their surname, given names, relationship to the patient, company (if applicable), address, suburb, state, phone, mobile, fax, and postcode.
- Select the type of access you require. Indicate whether you want viewing access only or printed copies. If selecting viewing access, state the facility you attended and specify the records you would like to view.
- If you prefer printed copies, indicate the desired facility and specify what you would like copies of, detailing if it's the entire record, summary documents, or specific sections. Be aware of the fees associated with printed copies.
- If you are requesting specific information such as your time of birth or medical certificate, provide the required details. Ensure you are aware of the associated fees.
- Indicate your authority to access the records by ticking the appropriate box. If you are not the patient, ensure you have the necessary consent or legal authority to make the request.
- Sign and print your name on the consent section on page 2 of the form, and indicate your relationship to the patient if applicable.
- Submit the completed form via fax or email as indicated in the instructions, or choose to post it to the Clinical Record Service.
- Once submitted, allow up to four weeks for processing. Keep track of any invoices sent regarding fee payments.
Complete and submit your Patient Request To Access Health Records form online today for efficient processing.
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Section 123110 of the Health & Safety Code specifically provides that any adult patient, or any minor patient who by law can consent to medical treatment (or certain patient representatives), is entitled to inspect patient records upon written request to a physician and upon payment of reasonable clerical costs to make ...
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