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Medical Records Request Form Template
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Publish template
See howPatients will be able to request medical records even from their mobile devices since our web forms are mobile-friendly. Share with them this medical records request form by simply copying and pasting the form code in a web page. Clicking the social media buttons on our platform lets you instantly publish the form on a social media page.
Collect & manage data
See howManaging sensitive healthcare information is no hassle with our secure medical records request form. Patient submissions are streamlined over a SSL connection and safely kept in an encrypted repository. With just a few clicks, you can make your medical forms HIPAA compliant as well. Manage all the data directly on our platform, export them on your preferred device or connect with third-party web apps.
Optimize your flow
See howImprove your medical facility’s workflow with online medical forms that help both patients and doctors. Set up email notifications to receive alerts whenever a patient submits a medical records request. Automating your data collection with 123FormBuilder will significantly simplify your administrative work and save you time.
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