Patient Any person who consults or is seen by a physician to receive medical care

Please be aware QueensCare Health Centers, by law, must provide the minimum required information and can only release information you have specifically requested and authorized in

A patient or authorized representative who wished to examine or obtain a copy of the patient=s medical record would have to submit a written request that was signed and dated

(a) Release of Records Pursuant to Written Request: “As required by the Medical Practice Act, §159.006, a physician shall furnish copies of medical and/or billing records requested

RELEASE OF INFORMATION: The George Washington University Hospital is authorized to release any information necessary, including copies of my hospital and medical records, to

The undersigned hereby authorize any of the following who may have any records or information regarding the Proposed Insured: Physician or medical practitioner; medical care

A patient or the patient's authorized representative, if any, may request an expedited external review if the physician or health care provider who ordered the services

• (1) Any person licensed pursuant to Chapter 458, F.S., required to release copies of patient medical records may condition such release upon payment by the requesting party of

Patients or other parties authorized by the patient to request medical records for legal issues, insurance, disability (not workman’s compensation), physician change, or