Form MADS-MR Medical Records Release Form - Massachusetts

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form MADS-MR for the current year.

Form MADS-MR Medical Records Release Form - Massachusetts

What Is Form MADS-MR?

This is a legal form that was released by the Massachusetts MassHealth - a government authority operating within Massachusetts. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a MADS-MR Medical Records Release Form?
A: The MADS-MR Medical Records Release Form is a document used in Massachusetts to authorize the release of medical records.

Q: Why would I need to use a MADS-MR Medical Records Release Form?
A: You may need to use this form to request your own medical records or to authorize the release of your medical records to another person or organization.

Q: What information is required on the MADS-MR Medical Records Release Form?
A: You will usually need to provide your personal information, including your name, date of birth, contact information, and the specific medical records you are requesting or authorizing to be released.

Q: Are there any fees associated with using the MADS-MR Medical Records Release Form?
A: There may be fees associated with obtaining copies of your medical records. The specific fees can vary depending on the healthcare provider or medical facility.

Q: Can I use the MADS-MR Medical Records Release Form for any healthcare provider in Massachusetts?
A: While the MADS-MR Medical Records Release Form is commonly used in Massachusetts, it is best to check with your specific healthcare provider or medical facility to ensure they accept this form.

Q: How long does it take to process a request using the MADS-MR Medical Records Release Form?
A: The processing time can vary depending on the healthcare provider or medical facility. It is recommended to contact them directly to inquire about the estimated processing time for your request.

Q: Can I revoke or cancel a request made using the MADS-MR Medical Records Release Form?
A: Yes, you can typically revoke or cancel a request made using this form. Contact the healthcare provider or medical facility as soon as possible to inform them of your decision.

Q: Is the MADS-MR Medical Records Release Form valid for a certain period of time?
A: The validity period of the form can vary depending on the policies of the healthcare provider or medical facility. It is best to check with them regarding the expiration or validity of the form.

Q: Can I make a request for someone else's medical records using the MADS-MR Medical Records Release Form?
A: Yes, you can use this form to authorize the release of someone else's medical records. However, you may need to provide additional documentation or legal authorization depending on the situation.

ADVERTISEMENT

Form Details:

  • Released on April 1, 2015;
  • The latest edition provided by the Massachusetts MassHealth;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MADS-MR by clicking the link below or browse more documents and templates provided by the Massachusetts MassHealth.

Download Form MADS-MR Medical Records Release Form - Massachusetts

4.3 of 5 (15 votes)
  • Form MADS-MR Medical Records Release Form - Massachusetts

    1

  • Form MADS-MR Medical Records Release Form - Massachusetts, Page 2

    2

  • Form MADS-MR Medical Records Release Form - Massachusetts, Page 1
  • Form MADS-MR Medical Records Release Form - Massachusetts, Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents