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STUDENT HEALTH SERVICES FLORIDA A&M UNIVERSITY TALLAHASSEE, FLORIDA 32307 PHONE: 8505993777 FAX NUMBER: 8504125643 MEDICAL RECORD RELEASE AUTHORIZATION Federal law states that we cannot share your

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What is medical record release authorization?

Medical record release authorization is a legal document signed by a patient that gives healthcare providers permission to release the patient's medical records to a specified party.

Who is required to file medical record release authorization?

Patients are required to file medical record release authorization if they want their medical records to be shared with a specific person or organization.

How to fill out medical record release authorization?

To fill out a medical record release authorization, patients need to provide their personal information, specify the recipient of the records, and sign the document authorizing the release of their medical records.

What is the purpose of medical record release authorization?

The purpose of medical record release authorization is to protect patients' privacy and ensure that their medical information is shared only with authorized individuals or organizations.

What information must be reported on medical record release authorization?

Medical record release authorization must include the patient's name, date of birth, contact information, the name of the recipient of the records, and the purpose of the release.

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