Release of Information Form Generator

Fill out the form to begin your request. Providing accurate details will ensure your request is processed quickly and efficiently. Learn more

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‍Your Rights Under HIPAA:
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Timely Access: Healthcare facilities are required by law to respond to your request within 30 days. If they need additional time, they can extend the deadline by another 30 days, but they must notify you in writing and explain the reason for the delay.
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Right to Your Records: HIPAA gives you the right to access your medical information, and facilities are obligated to comply unless specific exceptions apply.

Secure and Confidential: Your electronic signature is managed by Adobe, a trusted leader in secure e-signature technology, ensuring the highest level of confidentiality.

The entire process is designed to protect your sensitive health information, meeting strict security standards to keep your data safe. • The document you create is fully HIPAA-compliant, so you can trust that your information is handled with care and in accordance with federal regulations.
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Additional Information: You can specify exactly which records you need, such as imaging reports, lab results, or your entire medical file.