Request to Transfer Medical Records

Request to Transfer Medical Records patient consent form

To initiate the transfer of your medical records, we kindly ask that you download and complete our request to transfer medical records consent form.

This form enables us to securely transfer your records to the designated recipient, ensuring continuity of care and seamless access to your medical history.

Your cooperation in completing this form is greatly appreciated as it facilitates the efficient processing of your request and ensures that your medical information is transferred safely and in accordance with privacy regulations. Thank you for entrusting us with your healthcare needs.