Release record 2026

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4.1 out of 5

68 votes

The document outlines the process for patients to authorize the release of their medical records from Michigan Medicine's Health Information Management (HIM) Release of Information (ROI) Unit. It includes instructions for completing the authorization form, delivery methods, purposes for disclosure, and associated fees. The document emphasizes that the authorization is voluntary, provides information on revocation rights, and details how to submit requests for medical records.

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Click ‘Get Form’ to open the release record in the editor.
Begin by filling out your personal information, including your name, date of birth, and contact details. Ensure accuracy for seamless processing.
Indicate whether you are requesting your own records or those of another individual. If it's for someone else, provide their details and your relationship to them.
Select the delivery method for receiving your records. Options include electronic delivery via a patient portal, US Mail, or pick-up from the ROI Unit.
Specify the purpose of the release and select the appropriate record set you wish to obtain. This may include clinical documentation related to specific incidents or comprehensive records.
Review all entered information for completeness and accuracy before signing and dating the authorization at the bottom of the form.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (67 Votes)
2020	4.3 Satisfied (137 Votes)
2019	4.3 Satisfied (53 Votes)
2018	4.1 Satisfied (68 Votes)
2015	4.3 Satisfied (264 Votes)
2012	4.4 Satisfied (60 Votes)

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What does it mean to release a record?

In the music industry, a release usually is a creative output from an artist available for sale or distribution. It is a broad term covering the many different forms music can be released in. Music can be released as singles, extended plays or as albums. A popular medium for releases is the Compact Disc (CD).

What is a record release?

A patient medical records release form is a legal document that gives healthcare providers permission to share a patients personal health information with other parties.

What is a release record?

The release record might depict the deployment sequence of different changes using parallel activities, sequential activities, and other activities. The release manager can delegate the responsibility for activities to others.