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RECORDS RELEASE DATE: TO: DOCTOR OR HOSPITAL ADDRESS×PHONE NUMBER I HEREBY AUTHORIZE AND REQUEST YOU TO RELEASE TO: GABRIEL CAPABLE, M.D. 665 CAMINO DE LOS MARES #208 SAN CLEMENTE, CA 92673 FAX:
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Visit the website boceanviewoncologybbcomb and navigate to the records release section.
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Download the records release form provided on the website.
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Fill out your personal information accurately, including your full name, date of birth, and contact information.
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Specify the type of records you are requesting to be released.
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Provide any additional details or instructions regarding your records request.
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Submit the completed form via the designated method stated on the website (e.g., mail, email, fax).

Who needs records release - boceanviewoncologybbcomb?

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Patients who have received medical treatment or services from boceanviewoncologybbcomb and need their medical records released to another healthcare provider.
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Individuals who require access to their own medical records for personal use or legal purposes.
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Authorized individuals, such as legal representatives or family members, who are granted permission to request medical records on behalf of a patient.
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Records release is a legal document that authorizes the release of medical records from Bocean View Oncology.
Patients or their authorized representatives are required to file records release for Bocean View Oncology.
To fill out records release for Bocean View Oncology, you need to provide your personal information, medical record details, and sign the authorization.
The purpose of records release for Bocean View Oncology is to allow the disclosure of medical records to authorized individuals or organizations.
Records release for Bocean View Oncology must include patient's name, date of birth, medical record number, requested records, and purpose of release.
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