Kaiser permanente hawaii medical records 2026

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  1. Click ‘Get Form’ to open the Kaiser Permanente Hawaii Medical Records authorization form in the editor.
  2. Begin by entering your Patient Name, MRN, DOB, and last four digits of your SSN in the designated fields. Ensure accuracy as these details are crucial for identification.
  3. Specify the entity authorized to release your information by filling in 'Kaiser Permanente' and any other facility or provider if applicable.
  4. Indicate the type of information you wish to disclose or obtain by checking the appropriate boxes such as 'Both Hospital and Clinic Records' or 'Lab Results'.
  5. Select your preferred method of receiving records (e.g., electronic media, paper copies) and provide an email address if necessary.
  6. Complete the purpose of disclosure section by selecting from options like 'Continuing Care/Treatment' or 'Legal Purposes'.
  7. Sign and date the form at the bottom. If someone else is signing on your behalf, indicate their relationship to you.

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