Nyu medical records request 2026

1. Click ‘Get Form’ to open the NYU Medical Records Request in our editor.
2. Begin by filling in your personal details, including your name, date of birth, telephone number, and address. Ensure all fields are completed as incomplete forms will not be accepted.
3. In the section for listing the provider/entity from which you are requesting records, refer to the provided chart and enter the relevant information accurately.
4. If you wish to include sensitive information such as Alcohol/Drug Treatment or Mental Health Treatment, make sure to initial next to each applicable type under number one.
5. Select the purpose for releasing your information by checking the appropriate box. This could be 'At my request', 'Continuity of Care', or another reason.
6. Choose how you would like to receive your records by selecting from options like mail, pick up, MyChart, fax, or secure email.
7. Finally, review all entered information for accuracy before signing and dating the form at the bottom.

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