Avera medical records 2026

1. Click ‘Get Form’ to open the Avera Medical Records in the editor.
2. Begin by filling in your Patient Identification details. Enter your full name, date of birth, and address accurately to ensure proper identification.
3. In the section for authorized disclosure, provide the name and contact information of the individual or organization that will be releasing your medical records. This is typically Avera McKennan Hospital.
4. Specify where you want the information sent by filling in the recipient's address and contact details. Select which documents you wish to disclose by checking the appropriate boxes.
5. Indicate the dates of service for which you are requesting records. If applicable, check the box regarding substance abuse records.
6. Select the purpose of disclosure from the options provided, or specify another reason if necessary.
7. Set an expiration date for this authorization if desired; otherwise, it will remain valid for one year from today.
8. Finally, sign and date the form at the bottom. If signed by a legal representative, include their relationship to you.

Start using our platform today to easily fill out your Avera Medical Records online for free!