Cedars sinai form 2025

1. Click ‘Get Form’ to open the cedars sinai form in the editor.
2. Begin by entering your Patient Name, Date of Birth, and Address details in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Indicate whether you prefer K Paper or K Electronic formats for your records. Select the appropriate options for Release To and Request From sections, providing necessary contact details.
4. Specify the purpose of the request by checking relevant boxes such as Continuing Care or Personal Use. This helps clarify why you need access to your medical records.
5. In the Information to Release section, select all applicable types of medical records you wish to obtain, such as History and Physical Report or Laboratory Report.
6. Complete the Delivery Instructions by choosing how you would like to receive your records—either via mail or pick-up—and provide any additional contact information if necessary.
7. Finally, review all entered information for accuracy before signing and dating the authorization at the bottom of the form.

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