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    Chiropractic Patient Authorization to Release Medical Records

    $2.29

    Get this Authorization form signed in order to get access to a patient's medical records for purposes of chiropractic treatment.

    • The patient's doctor or other medical service provider is directed to release the patient's medical records to the chiropractor so that treatment can begin.
    • This is a generic patient authorization form that can be used anywhere.
    • You can easily customize the form with your logo, office address and phone number.

    Pre-printed forms are expensive. Download the Patient Authorization Form and use it as often as you like - no more restocking costs, print as many as you need.

    Download Type: Microsoft Word
    Last Updated: 14-April-2016
    SKU: 3000