Cincinnati Ohio Authorization for Medical Information

State:
Multi-State
City:
Cincinnati
Control #:
US-PI-0244
Format:
Word; 
Rich Text
Instant download

Description

This form is used to inform the plaintiff's medical provider that an attorney has been retained by plaintiff and that plaintiff authorizes the release to attorney of all of his or her medical records.
Free preview
  • Form preview
  • Form preview

Trusted and secure by over 3 million people of the world’s leading companies

Cincinnati Ohio Authorization for Medical Information