What is the process of sorting through old or inactive medical records: Fill out & sign online

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Click ‘Get Form’ to open the Records Release Form - CSHPnet in our editor.
Begin by filling in your CSHP Medical Record Number (MRN) at the top of the form. This is essential for identifying your records.
In the 'Reason for this request' section, mark all applicable reasons for requesting your medical records, such as insurance change or personal use.
Provide your personal identification details, including your name, date of birth, and phone number. Ensure accuracy to avoid processing delays.
Specify the extent of information you wish to release by checking the relevant boxes under 'Extent of information to be released.' You can choose specific reports or all records.
Initial the appropriate sections if you want sensitive information included, such as mental health or HIV/AIDS records.
Sign and date the form at the bottom. If a representative is signing on your behalf, include their authority description.

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