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Print Swedish Urology Group, PC 1101 Madison St., Suite 1400 * Seattle, WA 98104 * Tel 2063866266 * Fax 2066221052 www.swedishurology.com Phillip H. Chapman M.D. * Erik L. Jorgenson M. D * Thomas
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How to fill out request medical records from

01
Start by locating the medical facility or hospital where the records are stored.
02
Contact the medical facility's medical records department to inquire about the process for requesting medical records.
03
Obtain the necessary request form, either by visiting the facility in person or by downloading it from their website.
04
Fill out the request form completely, providing all required information such as your name, date of birth, contact information, and specific details about the records you are requesting.
05
Attach any relevant supporting documents, if required, such as a copy of your identification or a signed authorization form.
06
Review the form to ensure all information is accurate and complete.
07
Submit the request form to the medical facility by either mailing it, faxing it, or delivering it in person.
08
Follow up with the medical facility to confirm receipt of your request and inquire about any potential fees or processing time.
09
Await the processing of your request and keep track of the estimated timeline provided by the medical facility.
10
Once the records are ready, you may either pick them up in person or request them to be mailed or sent electronically, based on the options provided by the medical facility.

Who needs request medical records from?

01
Various individuals may need to request medical records from a medical facility or hospital, including:
02
- Patients who require their own medical records for personal reference, continuation of care, or to share with another healthcare provider.
03
- Caregivers or family members who are authorized to request records on behalf of a patient who is unable to make the request themselves.
04
- Attorneys or legal representatives who need the records for legal proceedings or medical malpractice cases.
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- Insurance companies or government agencies that may require medical records as part of claim processing or eligibility determination.
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- Researchers or academics who require access to medical records for study or analysis purposes.
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