Froedtert medical records 2025

1. Click ‘Get Form’ to open the froedtert medical records in the editor.
2. Begin by entering the 'Date of Request' at the top of the form. This helps track when your request was made.
3. Fill in your name in the 'Name of Person Requesting the Information' field, ensuring it matches your identification.
4. Indicate your relationship to the patient by checking one of the options provided: 'Self' or 'Patient’s Legal Representative'.
5. Complete the patient's details, including their name, date of birth, and address. Accurate information is crucial for processing.
6. Provide a preferred contact number and specify whether it is a home or mobile number.
7. In the 'Information Requested' section, be specific about what records you need, including provider names and locations.
8. Select relevant locations from the list provided to indicate where you are requesting records from.
9. Specify dates for which you are requesting information to ensure clarity on your request.
10. Choose your preferred format for receiving records: Paper, CD, MyChart (Portal), or Email. Confirm email if applicable.
11. Fill in details for who will receive the information if different from yourself, including their address and relationship to the patient.
12. Sign and date at the bottom as either the patient or their representative to authorize release of information.

Start using our platform today to easily fill out and manage your froedtert medical records online for free!