How to use or fill out froedtert records with our platform
- Click ‘Get Form’ to open the froedtert records in the editor.
- Begin by entering the 'Date of Request' at the top of the form. This helps track when your request was made.
- Fill in your name in the 'Name of Person Requesting the Information' field, ensuring it matches your identification.
- Indicate your relationship to the patient by checking the appropriate box, either 'Self' or 'Patient’s Legal Representative'.
- Provide the patient's name and date of birth in their respective fields to identify whose records you are requesting.
- Complete the patient address section accurately for correspondence purposes.
- Enter a preferred contact number and specify whether it is a home or mobile number.
- In the 'Information Requested' section, be specific about what records you need, including provider names and locations.
- Select from available locations and formats for receiving records, ensuring clarity on how you wish to receive them.
- Finally, sign and date the form at the bottom. Ensure that all information is accurate before submission.
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