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Medical Records | Stanford Health Care

    https://stanfordhealthcare.org/for-patients-visitors/medical-records.html
    Stanford Health Care requires a completed and signed Authorization for Release of Health Information form before releasing any documents to anyone, including the patient. In …

AUTHORIZATION FOR USE OR DISCLOSURE OF …

    https://stanfordhealthcare.org/content/dam/SHC/patientsandvisitors/your-hospital-stay/docs/15-79-1-authorization-combined-shc-uha-vc-disclosure-of-information-english.pdf
    If you have questions about this authorization form or the release of your health information, pleasecontact the Stanford Health Care HIMS Department at 650-723-5721, Stanford …

AUTHORIZATION FOR USE OR DISCLOSURE OF …

    https://stanfordhealthcare.org/content/dam/SHC/patientsandvisitors/your-hospital-stay/docs/authorization-disclosure-form.pdf
    contact the Stanford Health Care HIMS Department at 650-723-5721 or University Healthcare Alliance (UHA) HIMS Department at 510-731-2676, before signing this form. …

Medical Records | Stanford Health Care - ValleyCare

    https://stanfordhealthcare.org/tri-valley/patients-and-visitors/medical-records.html
    When you have a baby at Stanford Health Care Tri-Valley, you are asked to complete a form that is sent by Medical Records to Alameda County. The county forwards appropriate …

AUTHORIZATION for RELEASE of INFORMATION

    https://med.stanford.edu/content/dam/sm/irt/documents/web/HIPAA_consent.doc
    AUTHORIZATION for RELEASE of INFORMATION. Stanford University Medical Center. Stanford Hospital & Clinics. Lucile Packard Children’s Hospital. Stanford University …

Authorization for Release of Medical Records

    https://web.stanford.edu/~mvperez/FAAF%20Forms/Authorization%20for%20Release%20of%20Medical%20Records%20-%20Saved.doc
    Stanford University Medical Center Cardiac Electrophysiology and Arrhythmia Service c/o Dr. Marco Perez 300 Pasteur Drive #H2146 Stanford, CA 94305 Voice Phone: 650-498 …

Medical Records - Stanford Medicine …

    https://www.stanfordchildrens.org/en/patient-family-resources/medical-records
    Requesting a copy of your medical records is easy, whether for your personal records, or to be sent to another medical facility. Lucile Packard Children's Hospital is required, …

Forms | Pediatric Primary Care | Stanford Medicine

    https://med.stanford.edu/ppc/patient_care/Forms.html
    Forms | Pediatric Primary Care | Stanford Medicine Forms Encounter forms Well child Other encounters Referrals and Faxing Referral forms & related resources Fax cover …

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    https://stanfordhealthcare.org/content/dam/SHC/for-patients-component/cancer/medical-record-release-form2014.pdf
    a o o O o o a o o o O O O O O o 12. O O a O o cn o ¥3 O cn O O o o o o . Created Date: 12/13/2013 2:31:42 PM

Medical Record Release from Stanford University …

    https://ehs.stanford.edu/forms-tools/medical-record-release-from-stanford-university-occupational-health-center-suohc
    Obtain employee approval in writing using the Authorization for Disclosure of My Medical Information from Stanford University Occupational Health Center (SUOHC) …



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