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Chiropractic Patient Authorization to Release Medical Records
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.
- Available in MS Word format.
$2.29
Chiropractic Patient Blanket Authorization Form
Chiropractors, obtain a general authorization from a patient with this downloadable Chiropractic Patient Blanket Authorization Form.
- When the patient completes the form, he / she is giving a general 'blanket' direction to any and all medical, paramedical and healthcare service providers.
- The patient authorizes these service providers to release to the chiropractor whatever information they may have on file with respect to injuries the patient has sustained and the treatment or care provided.
- The chiropractor is authorized to use this information for treatment purposes.
- This form is available in MS Word format and can be easily edited and customized to fit your business needs.
$2.29
Parental Consent for Surgery on Minor
Get the consent of a parent for a doctor to perform necessary surgery on a child with this medical authorization form.
- The parent acknowledges having been made aware of the risks involved with the surgery.
- The parent also acknowledges that the surgeon cannot guarantee the operation will be a success.
- The parent consents to the surgery and the use of anesthetic.
- If appropriate (according to age), the minor child also signs the form.
- This is a generic legal form which is not specific to any country.
$2.99