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Filling out the Brazos Integrative Medicine medical records release form is essential for facilitating the transfer of your health information. This guide provides a clear, step-by-step approach to ensure that you complete the form accurately and efficiently.

Follow the steps to fill out the medical records release form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information in the designated fields. This includes your full name, address, city, state, and zip code. Ensure that all details are accurate to avoid delays in processing.
3. Indicate the specific individual or entity to whom your protected health information should be released. Provide the name, street address, city, state, and zip code of the recipient.
4. Specify the purpose for the release of your medical records. You may choose a reason from the provided options or write a brief explanation in the designated section if none apply.
5. Sign and date the form in the provided areas to authorize the release of your health information. If you are signing on behalf of a minor or individual unable to sign, indicate your relationship to the person.
6. Review the completed form for accuracy and completeness before submission. Once satisfied, save the changes.
7. Finalize your document by downloading, printing, or sharing the completed form as required.

Complete your documents online today for a seamless experience.