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01. Edit your dfci intranet online
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How to use or fill out dana farber medical records with our platform
- Click ‘Get Form’ to open the dana farber medical records in the editor.
- Begin by entering your ID number and date of birth in the designated fields at the top of the form.
- Fill in your full name, including last name, first name, and middle initial, followed by your address.
- In the authorization section, clearly write your name to authorize the release of your protected health information.
- Select which specific protected health information you wish to be released by checking the appropriate boxes and providing dates of treatment where necessary.
- If applicable, initial next to any specifically protected or privileged health information you wish to discuss or release.
- Review all entered information for accuracy before signing and dating the authorization at the bottom of the form.
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