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File type: PDF
File page: 1 Page(s)
File size: 9KB
The Texas Medical Records Release Form is a very brief template, which begins with a statement of releasing the medical records. The template contains the content of patient's personal information, the entity/person who will release the record, release reason, and patient signature. What's more, there is a duration of releasing the medical record. Thus, you need to sign the accurate date. We offer the free file for your reference on our website.
This Texas Medical Records Request Form is in a relatively simple form. The template contains the personal information, limitations on the information, the release purpose, and the legal statement of the medical record release. The file will take effect only after the patient or his guardian or his legal representative has signed the name. This is the free file on our website. If you need it, you can visit us and download it without purchase.
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