Get the up-to-date HIM Release of Information - UC Davis Health 2024 now

Get Form
HIM Release of Information - UC Davis Health Preview on Page 1

Here's how it works

01. Edit your form online
01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact HIM Release of Information - UC Davis Health online

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2

Dochub is the greatest editor for modifying your documents online. Adhere to this simple instruction to edit HIM Release of Information - UC Davis Health in PDF format online at no cost:

  1. Register and sign in. Create a free account, set a strong password, and proceed with email verification to start managing your templates.
  2. Add a document. Click on New Document and choose the file importing option: upload HIM Release of Information - UC Davis Health from your device, the cloud, or a secure link.
  3. Make adjustments to the template. Take advantage of the top and left-side panel tools to edit HIM Release of Information - UC Davis Health. Add and customize text, pictures, and fillable areas, whiteout unnecessary details, highlight the significant ones, and provide comments on your updates.
  4. Get your paperwork done. Send the form to other people via email, create a link for quicker file sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail included.

Try all the benefits of our editor today!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
An individuals personal representative (generally, a person with authority under State law to make health care decisions for the individual) also has the right to access PHI about the individual in a designated record set (as well as to direct the covered entity to transmit a copy of the PHI to a designated person or
The process begins when the patient submits a request to release information. The request can come from a patient, or an interested party such as an attorney, insurance company, or medical research institute using email, phone or filling out the Release of Information form (ROI).
How long does a physician have to send me the copy of medical records I requested? If you made your request in writing for the records to be sent directly to you, the physician must provide copies to you within 15 days. The physician can charge a reasonable fee for the cost of making the copies.
Fax: 916-734-2126. E-mail: hs-mychartactivation@ucdavis.edu. U.S. mail: UC Davis Health, Health Information Management Medical/Legal Release of Information Unit.