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401 Bishop Drive Fredericton, NB E3C 2M6 pH(506)4511085 fax(506)4511018TRANSFER OF PATIENT RECORDS CONSENT FORM Date: ___ I, ___, hereby request the following from my dental records (Patients Name)
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How to fill out transfer of patient records
How to fill out transfer of patient records
01
Obtain the proper form for transferring patient records from the patient's current healthcare provider.
02
Fill out the patient's personal information accurately, including name, date of birth, and contact information.
03
Provide information about the patient's current healthcare provider, such as name, address, and contact information.
04
Include any specific medical conditions or treatments that the patient has received that may be relevant for the new healthcare provider.
05
Sign and date the transfer of patient records form, verifying that the information provided is accurate.
Who needs transfer of patient records?
01
Patients who are switching healthcare providers.
02
Healthcare providers who are referring a patient to another provider for specialized care.
03
Health insurance companies who need to review medical records for claims processing.
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What is transfer of patient records?
Transfer of patient records is the process of moving a patient's medical information from one healthcare provider to another.
Who is required to file transfer of patient records?
Healthcare providers, hospitals, and medical facilities are required to file transfer of patient records when a patient is switching care providers.
How to fill out transfer of patient records?
Transfer of patient records can be filled out by healthcare professionals using a standardized form or electronic medical record system.
What is the purpose of transfer of patient records?
The purpose of transfer of patient records is to ensure continuity of care for the patient and provide the new healthcare provider with important medical information.
What information must be reported on transfer of patient records?
Transfer of patient records must include the patient's medical history, current medications, allergies, recent test results, and treatment plans.
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