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PATIENT AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS Penn State Health Milton S. Hershey Medical Center, Health Information Management, Mail Code HU24, P.O. Box 850, Hershey, PA 170330850 I. PATIENT
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To fill out Hershey Medical Center Health form, follow these steps:
02
Obtain the form from the Hershey Medical Center or download it from their website.
03
Read the instructions carefully to ensure you understand what information is required.
04
Fill in your personal details, such as your name, address, and contact information.
05
Provide your medical history, including any pre-existing conditions or medications you are currently taking.
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Answer all the questions honestly and accurately.
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If there are any specific sections or questions that you are unsure of, seek assistance from a healthcare professional.
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Review the completed form to make sure all information is correct and legible.
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Sign and date the form as required.
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Submit the filled-out form to the designated department or personnel at Hershey Medical Center.

Who needs hershey medical center health?

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Hershey Medical Center Health is needed by anyone who seeks medical care or services at Hershey Medical Center.
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This includes patients who require medical treatment, individuals participating in research studies or clinical trials, and individuals seeking preventative care or health screenings.
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Hershey Medical Center Health form helps the medical center gather relevant information about the patient to provide appropriate and personalized care.
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Hershey Medical Center Health is a healthcare facility located in Hershey, Pennsylvania.
All patients and employees of Hershey Medical Center are required to file Hershey Medical Center Health forms.
Hershey Medical Center Health forms can be filled out online or in person at the facility.
The purpose of Hershey Medical Center Health forms is to collect and update medical information for patients and employees.
Information such as medical history, current medications, allergies, and contact information must be reported on Hershey Medical Center Health forms.
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