Home
Forms Library
Upstate ob gyn albany ny

Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup 2025

upstate ob gyn albany ny Preview on Page 1

See details

4 out of 5

21 votes

The document is an 'Authorization for Release of Medical Records' form, allowing patients to authorize Upstate OB/Gyn Group to release their medical information to specified parties. It includes sections for patient details, the recipient's information, types of records to be released, and the purpose of disclosure. The form also addresses the potential inclusion of sensitive health information and outlines the revocation process and timeline for record release.

Here's how it works

01. Edit your upstate ob gyn albany ny online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send upstate ob gyn group greenville reviews via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on paperwork with our comprehensive and user-friendly PDF editor is straightforward. Follow the instructions below to complete Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup online easily and quickly:

Log in to your account. Sign up with your email and password or create a free account to test the product before choosing the subscription.
Import a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup. Quickly add and underline text, insert images, checkmarks, and icons, drop new fillable areas, and rearrange or delete pages from your paperwork.
Get the Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup completed. Download your modified document, export it to the cloud, print it from the editor, or share it with others using a Shareable link or as an email attachment.

Make the most of DocHub, one of the most easy-to-use editors to promptly handle your documentation online!

See more Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup versions

We've got more versions of the Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup form. Select the right Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2017	4.6 Satisfied (32 Votes)
2014	4 Satisfied (21 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the law on medical records in Louisiana?

However, Louisianas medical records laws give you unique rights to: Access Your Medical Record: You have the right to see and get a copy of your medical record within 15 days of your initial request. The health care provider has a right to charge you for copying the record and/or the cost of postage to mail it to you.

Is it illegal for a doctor to withhold information from a patient?

The therapeutic privilege permits physicians to tailor (and even withhold) information when, but only when, its disclosure would so upset a patient that he or she could not rationally engage in a conversation about therapeutic options and consequences.

Can I sue my doctor for not releasing my medical records?

If you believe that your doctor or other health care provider violated your health information privacy right by not giving you access to your medical record, you may file a HIPAA Privacy Rule Complaint with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights.

How to fill out authorization for release of medical records?

How do I fill out a HIPAA release form? Provide instructions. Name the patient and individual authorized to use or disclose their PHI. Describe the information. Specify recipients. Specify the purpose of disclosure. Specify the time period. Detail their revocation rights. Obtain the patients signature.

What is the law on medical records in PA?

Section 25.213 - Medical records (a) A medical record shall be maintained for each patient, identifying the patient, the person making the entry, the date of each contact, pertinent clinical information, diagnoses, findings, laboratory results and other diagnostic, corrective or therapeutic procedures, including

upstate obgyn

OB/GYN Greenville SC that accept Medicaid female gynecologist greenville, sc 124 Verdae Blvd ste 204 Greenville, SC 29607 Prisma Health OB/GYN Greenville SC best obgyn in greenville, sc 124 Verdae Blvd, Greenville, SC 29607 st francis obgyn greenville, sc Upstate OBGYN

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

Can you sue a doctor for not providing medical records?

Generally, a medical provider or hospital merely losing your documents does not give you grounds for filing a lawsuit. However, if a doctor or healthcare facility lost your medical records or test results and you suffered harm as a result, you can potentially sue and recover compensation.

How to get your medical records if your doctor is no longer in practice?

Contact their old doctors office or practice location in hopes a current employee there may have a lead on where they may get their medical records. Call their local chamber of commerce, borough hall, or local Department of Health looking for more information.

What is the New York state law regarding medical records?

New York State Law gives patients and other qualified individuals access to medical records. There are some restrictions on what may be obtained and fees may be charged by physicians, other health care professionals and facilities for providing copies.

Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup 2025

Here's how it works

The best way to edit Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup in PDF format online

See more Medical Records Release Form - Upstate OB-GYN Group - upstateobgyngroup versions

Complete this form in 5 minutes or less

Got questions?

What is the law on medical records in Louisiana?

Is it illegal for a doctor to withhold information from a patient?

Can I sue my doctor for not releasing my medical records?

How to fill out authorization for release of medical records?

What is the law on medical records in PA?

Complete this form in 5 minutes or less

People also ask

Can you sue a doctor for not providing medical records?

How to get your medical records if your doctor is no longer in practice?

What is the New York state law regarding medical records?

upstate obgyn albany ny

Try more PDF tools