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ASHEVILLE GASTROENTEROLOGY ASSOCIATES (A Division of Digestive Health Partners) 191 Biltmore Avenue, Asheville, NC 28801 Telephone: 8282540881 Fax: 8282581614 AUTHORIZATION TO RELEASE/OBTAIN INFORMATION
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What is dhp-obtain-release med records form?
The dhp-obtain-release med records form is a document used to request and authorize the release of an individual's medical records from a healthcare provider.
Who is required to file dhp-obtain-release med records form?
The individual or their authorized representative is required to file the dhp-obtain-release med records form in order to obtain copies of their medical records.
How to fill out dhp-obtain-release med records form?
The dhp-obtain-release med records form must be filled out completely and accurately, including the individual's personal information, the healthcare provider's information, and the specific records being requested.
What is the purpose of dhp-obtain-release med records form?
The purpose of the dhp-obtain-release med records form is to protect the privacy and confidentiality of an individual's medical information while allowing them to access their own health records.
What information must be reported on dhp-obtain-release med records form?
The dhp-obtain-release med records form must include the individual's name, date of birth, address, contact information, the healthcare provider's name, address, contact information, and a detailed description of the medical records being requested.
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