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M E D I C A L R E CO R D ACC E SS A P P L I C AT I O N F O R M (Access to Health Records Act 1990/Data Protection Act 1998) PLEASE COMPLETE THIS FORM IN BLOCK LETTERS DETAILS OF THE PERSON WHOSE MEDICAL
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Medical record access application is a formal request made by an individual to obtain a copy of their medical records from a healthcare provider.
Any individual who wants to access their own medical records is required to file a medical record access application.
To fill out a medical record access application, the individual must provide their personal information, details of the records requested, and any necessary authorization forms.
The purpose of a medical record access application is to allow individuals to have access to their own medical information for personal review or to share with other healthcare providers.
The medical record access application must include the individual's name, contact information, specific records requested, and any necessary authorization for release.
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