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PO Box 1000, Minersville, VA 22939 540.932.4000 or 540.332.4000REQUEST AND AUTHORIZATION TO COPY/RELEASE HEALTH INFORMATION Please fill out all sections or the form may be returned to you. Date of
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To fill out Augusta University medical records, follow these steps:
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Obtain the medical records form from the Augusta University medical center or their website.
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Fill in your personal information accurately, including your name, date of birth, and contact details.
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Provide your medical history, including any previous illnesses, surgeries, or chronic conditions.
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Include a comprehensive list of medications you are currently taking, including the dosage and frequency.
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Mention any known allergies or adverse reactions to medications or substances.
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Specify any preferred healthcare providers or specialists you would like to be referred to.
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Sign and date the medical records form to validate your submission.
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Submit the completed form to the Augusta University medical center in person, by mail, or through their patient portal.
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Keep a copy of the filled-out medical records for your own records.

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It is important to have accurate and up-to-date medical records to ensure continuity of care and facilitate communication between healthcare providers.
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Augusta University medical records are a collection of documents containing a patient's medical history, diagnoses, treatments, and test results.
Healthcare providers and facilities, as well as any authorized personnel, are required to file Augusta University medical records for patients.
Augusta University medical records can be filled out by healthcare professionals using electronic health record systems or traditional paper forms.
The purpose of Augusta University medical records is to provide a comprehensive overview of a patient's health history and treatment for healthcare providers to make informed decisions.
Information such as patient demographics, medical history, medications, allergies, test results, diagnoses, treatments, and progress notes must be reported on Augusta University medical records.
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