What is a request the obtain a copy of the clinical record?
The Request for a copy of clinical records form can be used by health care providers and organizations to fulfill patients' requests for copies of medical records. This request form includes the patient's name, date of birth, the purpose of the request, and signature field.
You can easily edit and design the form fields, design, and many other sections with forms.app. For example, you can add a logo representing your healthcare institution to give a professional look to your form.