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AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION To Have Records Released to: Longmont Integrative Family Practice 2130 Mountain View Ave. Ste. 203 Longmont, CO 80501 Complete for All Authorizations

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How to fill out to have records released

01

Step 1: Collect all relevant records that need to be released.

02

Step 2: Prepare a letter or request form to the organization or institution holding the records.

03

Step 3: Clearly state the purpose and reason for requesting the release of the records.

04

Step 4: Provide any necessary identification or authorization documents to support the request.

05

Step 5: Submit the completed request form along with any supporting documents to the appropriate contact or department.

06

Step 6: Follow up with the organization or institution to ensure the request is being processed.

07

Step 7: Once the records are released, review them carefully for accuracy and completeness.

Who needs to have records released?

01

Individuals who require access to their personal records or information held by an organization or institution.

02

Research institutions or organizations that require specific records for data analysis or studying purposes.

03

Legal professionals who need access to records as part of legal proceedings or cases.

04

Government agencies or officials who need to review records for regulatory or investigative purposes.

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