Get Reno Orthopedic Clinic Has Retained A Professional Service To Handle The Duplication And Transfer

This guide provides comprehensive instructions for filling out the Reno Orthopedic Clinic medical record release form. By following the steps outlined below, you will ensure a smooth and efficient process for obtaining your medical records.

Follow the steps to complete your medical records release form effectively.

1. Click the ‘Get Form’ button to obtain the Medical Record Release of Information Authorization form and open it for editing.
2. Carefully fill out the patient information section. Include your full name, date of birth, and contact details such as phone number and complete address to ensure that there are no issues in processing your request.
3. In the 'FROM' section, specify the name and address of the source of your records. Ensure that all fields are correctly filled out to avoid any delays.
4. In the 'TO' section, indicate the name of the physician or facility receiving your records. Provide complete contact information to facilitate the delivery.
5. Select your preferred delivery method for your records by checking the appropriate box, whether it be email, fax, CD, or paper.
6. Specify the dates of service or specific records you wish to obtain in the 'WHAT' section. Ensure to cover all possible documents to avoid incomplete requests.
7. Select the purpose of your disclosure from the available options. This helps standardize the request for processing.
8. Sign and date the authorization form. Your signature confirms that you permit the release of your medical records.
9. Once you have completed the form, either submit it directly to the front desk or mail it to DataFile Technologies using the provided address. Ensure that you keep a copy for your records.

Complete your medical record release form online now for an efficient request process.