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01. Edit your doj custodian of records online
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02. Sign it in a few clicks
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How to use or fill out custodian of record with our platform
- Click ‘Get Form’ to open the custodian of record document in the editor.
- Begin by entering your name in the designated field, confirming your role as the authorized custodian of medical records.
- Fill in the name of the individual whose medical records you are certifying, ensuring accuracy for legal compliance.
- Specify the date range during which the treatment occurred by filling in both start and end dates clearly.
- Indicate the name of the institution or office where treatment was provided, ensuring it matches official records.
- Complete any additional fields regarding charges for providing copies of records, if applicable.
- Sign and date the form as the custodian, then prepare it for notarization by a public notary.
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