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Chiropractic Office Patient Authorization to Release Medical Records

Are you a chiropractor who needs ready-to-use forms for your office? Buy and download this Patient Authorization to Release Medical Records.

This form must be signed by a patient and given to a doctor or medical facility authorizing them to release all of the patient's medical information and records to a chiropractor for treatment purposes.

This Chiropractic Office Patient Authorization form is in MS Word format, and can be easily edited to fit your specific circumstances.

Download: Chiropractic Office Patient Authorization to Release Medical Records

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Canadian Law Resources: (14-Apr-2018) E.&O.E.

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