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MEDICAL RELEASE REQUEST NAME (PRINT): ___ MID ___ DATE OF BIRTH: ___ BUILDING AND ROOM #:___CELL PHONE: ___ NAME OF () PARENT/ () LEGAL GUARDIAN: ___ HOME ADDRESS: ___ STREET/BOX NUMBERCITYSTATEZIPHOME
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01
Obtain the necessary forms from the orthogeorgia medical records department or website.
02
Fill out the patient information section including name, date of birth, and contact information.
03
Provide detailed information about the medical records you are requesting, including dates of service and specific documents needed.
04
Sign and date the authorization form, giving permission for the release of your medical records.
05
Submit the completed form either in person, by mail, or through the online portal as directed by the orthogeorgia medical records department.

Who needs orthogeorgia medical records department?

01
Patients who require their medical records for personal use or to share with other healthcare providers.
02
Healthcare providers who need access to a patient's complete medical history for accurate diagnosis and treatment.
03
Insurance companies or legal representatives involved in a patient's care or case may also need to request medical records from orthogeorgia.
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OrthoGeorgia's medical records department is responsible for managing and maintaining all patient records.
All healthcare providers at OrthoGeorgia are required to file medical records for their patients.
Medical records at OrthoGeorgia can be filled out electronically or manually, following the guidelines provided by the department.
The purpose of the medical records department at OrthoGeorgia is to ensure accurate and secure documentation of patient information for quality patient care.
OrthoGeorgia medical records must include patient demographics, medical history, diagnosis, treatment plans, and all relevant healthcare provider notes.
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