Cedars sinai form 2025

1. Click ‘Get Form’ to open the cedars sinai form in the editor.
2. Begin by filling in your personal information, including your name, date of birth, address, and phone number. Ensure all details are accurate to avoid any delays.
3. Indicate whether you authorize Cedars-Sinai to release or request medical records by checking the appropriate box. Specify the purpose for this authorization.
4. Provide the details of the person or organization to whom the records will be released or from whom they will be requested. Include their address and contact information.
5. Select the types of health information you wish to release by checking the relevant boxes. Be mindful of any specific laws that may require additional authorization.
6. Fill in treatment dates and specify which medical records you want, such as lab reports or discharge summaries.
7. Review your entries for accuracy before signing and dating the form at the bottom. Remember that you can revoke this authorization at any time.

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