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Request to Transfer Records to Pauli Family Medicine Please transfer medical records for those listed below to: Pauli Family Medicine 250 W. Lancaster Avenue, Suite 120 Pauli, PA 19301 Phone: 6106448069

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How to fill out request to transfer records

01

Begin by contacting the current institution or provider to request a transfer of records.

02

Fill out the necessary forms or paperwork provided by the institution, ensuring all information is accurate and up-to-date.

03

Include any specific instructions or requirements for the transfer of records, such as sending them directly to a new provider or institution.

04

Provide any additional documentation or information requested to facilitate the transfer process.

05

Follow up with the receiving institution or provider to confirm that the records have been successfully transferred.

Who needs request to transfer records?

01

Individuals who are changing healthcare providers or institutions and need their medical records transferred.

02

Students who are transferring schools and need their academic records sent to the new institution.

03

Professionals who are changing jobs and need their employment records transferred to the new employer.

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What is request to transfer records?

A request to transfer records is a formal document that allows authorized individuals or entities to transfer records or information from one location to another.

Who is required to file request to transfer records?

The individual or entity who wants to transfer records is required to file a request to transfer records.

How to fill out request to transfer records?

To fill out a request to transfer records, one must provide detailed information about the records to be transferred, the reason for transfer, and any other relevant details.

What is the purpose of request to transfer records?

The purpose of a request to transfer records is to ensure that records are transferred securely and accurately from one location to another.

What information must be reported on request to transfer records?

The request to transfer records must include details such as the type of records being transferred, the recipient of the records, and any special instructions for the transfer.

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