Kaiser permanente hawaii medical records 2025

1. Click ‘Get Form’ to open the kaiser permanente hawaii medical records in the editor.
2. Begin by entering your Patient Name at the top of the form. This is essential for identifying your medical records.
3. Fill in your Medical Record Number (MRN), Date of Birth (DOB), and the last four digits of your Social Security Number (SSN) in the designated fields.
4. Indicate who you are authorizing to release your information by filling out the 'I hereby authorize' section, specifying Kaiser Permanente or another facility/provider as needed.
5. Complete the address details for where you want the records sent, including city, state, and zip code.
6. Select what type of information you are requesting by checking the appropriate boxes under 'To disclose/obtain the following information.'
7. Specify the purpose for which you need this information in the 'For the purpose of' section.
8. Sign and date at the bottom of the form. If someone else is signing on your behalf, indicate their relationship to you.

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