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3+ Medical Records Request Form

The Medical Records Request refers to the application of acquiring the records of the physical treatment of the patient. Every patient has the right to review his medical record and obtain a copy with paying fees, and different states have the different charging standards. For your convenience, we offer several different medical records request forms for free, such as Vaccine Administration Record of Adults, Medical Records Request Form and Second Letter Requesting Medical Records. If you are interested in these templates, you can visit our website.

  • Medical Records Request Form

    Medical Records Request Form Download
  • Request for and Authorization to Release Medical Records

    Request for and Authorization to Release Medical Records Download
  • Second Letter Requesting Medical Records

    Second Letter Requesting Medical Records Download