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VETERANS AFFAIRS PALO ALTO HEALTH CARE SYSTEM3801 Miranda Avenue Palo Alto, CA 943041290Effective Date: UnknownIssue Date: November 10, 2010, HEALTH CARE SYSTEM MEMORANDUM NO. 1381014 SUBJECT: UTILITY
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How to fill out request your medical records

01
Contact your healthcare provider or medical records department to request a copy of your medical records.
02
Provide your identification information such as your name, date of birth, and social security number.
03
Specify the type of medical records you need, including the dates and specific information you are requesting.
04
Check if there is a fee associated with the request and arrange for payment if necessary.
05
Submit your request in writing, either through mail, email, or fax. Make sure to include your contact information for any follow-up.
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Wait for the processing time, which can vary depending on the healthcare provider.
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Once your medical records are ready, arrange for pick-up or delivery as instructed by the healthcare provider.

Who needs request your medical records?

01
Patients who are transferring to a new healthcare provider may need to request their medical records to ensure continuity of care.
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Individuals who wish to review or keep a personal copy of their medical history for future reference.
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Researchers or healthcare professionals who require access to medical records for academic or clinical purposes.
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Individuals applying for insurance or making disability claims may need to provide medical records as part of the process.
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Legal professionals involved in medical malpractice or personal injury cases may require access to medical records as evidence.

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Requesting your medical records means asking for copies of your health information that is kept by your healthcare provider or medical facility.
Anyone who wants to access their own medical records or authorize someone else to access them on their behalf is required to file a request.
You can typically fill out a request form provided by your healthcare provider or medical facility, or you can submit a written request detailing the specific records you are seeking.
The purpose of requesting your medical records is to review your health information, ensure its accuracy, use it for future healthcare needs, or provide it to another healthcare provider for continuity of care.
The information required to request your medical records may vary, but typically includes your name, date of birth, contact information, specific records you are requesting, and your signature or authorization.
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