Kaiser Medical Records Release - If you need a copy of your medical record for yourself or those you care for at home, take with you when traveling, or share with a care provider outside of kaiser permanente, you can:. Submit a medical request online, or find information about how to request medical care from kaiser permanente. Find and download release of medical information instructions and forms. I understand that a kaiser permanente provider may review the records to determine what content ultimately becomes part of the patient’s kaiser permanente medical record. Check the box that applies to the reason the records are being. Check only one of the following three options to identify the health information to be released. Form completion (a substitute form or relevant medical records may be released) q. Note that hospital and medical office records released as part of this request may contain references related to mental health, addiction, and hiv conditions. Download and complete this form to authorize the use or disclosure of your patient health information for legal, insurance, medical certification or other purposes. Choose the type and. When requesting medical records from kaiser foundation health plan of washington, be aware that certain types of medical information have extra legal protection. The kaiser permanente release of information offices are available for requesting and following up on requests for medical records. Contact the office in your area if: You have already made a request but have not received records within 5 business days of the date your request was. Kaiser permanente washington frequently requested forms including medical record release, prescription transfer, address change, and claims. Order an electronic copy of your detailed medical records. A pdf summary of your online health records, including allergies, immunizations, ongoing health conditions, medications, test. Submit a medical request online, or find information about how to request medical care from kaiser permanente. Kaiser permanente will not condition treatment, payment, enrollment or eligibility for benefits on providing, or refusing to provide this authorization. Hospital and medical ofice records.
If you need a copy of your medical record for yourself or those you care for at home, take with you when traveling, or share with a care provider outside of kaiser permanente, you can:. Submit a medical request online, or find information about how to request medical care from kaiser permanente. Find and download release of medical information instructions and forms. I understand that a kaiser permanente provider may review the records to determine what content ultimately becomes part of the patient’s kaiser permanente medical record. Check the box that applies to the reason the records are being. Check only one of the following three options to identify the health information to be released. Form completion (a substitute form or relevant medical records may be released) q. Note that hospital and medical office records released as part of this request may contain references related to mental health, addiction, and hiv conditions. Download and complete this form to authorize the use or disclosure of your patient health information for legal, insurance, medical certification or other purposes. Choose the type and. When requesting medical records from kaiser foundation health plan of washington, be aware that certain types of medical information have extra legal protection. The kaiser permanente release of information offices are available for requesting and following up on requests for medical records. Contact the office in your area if: You have already made a request but have not received records within 5 business days of the date your request was. Kaiser permanente washington frequently requested forms including medical record release, prescription transfer, address change, and claims.