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Mail or Fax to:Release of Information121 Inner Belt Road, Room 240 Somerville, MA 021434453 Phone: 617 726 2361 FAX: 617 726 3661AUTHORIZATION FOR RELEASE OF PROTECTED OR PRIVILEGED HEALTH INFORMATIONPlease
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To fill out Spaulding Brighton medical records, follow these steps:
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Obtain the medical records form from the Spaulding Brighton medical facility.
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Provide your personal information, including your full name, date of birth, and contact details.
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Include your insurance information if applicable, including the insurance company's name and policy number.
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Fill out the medical history section, including any pre-existing conditions, allergies, or medications you are currently taking.
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Provide details of your current medical concern or reason for filling out the medical records.
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If you have any previous medical records or test results related to your current condition, attach copies to the form.
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Review the completed form for accuracy and completeness.
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Sign and date the form to certify that the information provided is true and accurate.
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Submit the filled-out medical records form to the Spaulding Brighton medical facility either in person or via mail.
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Keep a copy of the filled-out form for your records.

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