Henry ford macomb hospital discharge papers 2025

1. Click ‘Get Form’ to open the discharge papers in the editor.
2. Begin by entering your full name, including any maiden name, and date of birth in the designated fields. This information is crucial for identifying your medical records.
3. Fill in the last four digits of your Social Security number and select your sex. Provide a contact telephone number for any follow-up communications.
4. Complete your address details, ensuring that all fields are filled accurately to avoid any issues with record retrieval.
5. In the authorization section, clearly state who you are authorizing to disclose your medical information. This could be a specific healthcare provider or organization.
6. Check the appropriate boxes for the types of medical records you wish to request or disclose, such as office visits or lab results, and specify relevant dates if necessary.
7. Sign and date the form at the bottom. If applicable, indicate your relationship to the patient if you are not signing on your own behalf.

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