Sample Release of Medical Information - New Mexico

Sample Release of Medical Information - New Mexico

Release of Medical Information is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.

FAQ

Q: What is a release of medical information?
A: A release of medical information is a document that allows healthcare providers to share your medical records with other individuals or organizations.

Q: Why would I need to sign a release of medical information?
A: You may need to sign a release of medical information to allow your healthcare providers to share your medical records with other doctors, specialists, or insurance companies.

Q: Who can request my medical records with a release of medical information?
A: Any individual or organization specified in the release form can request your medical records.

Q: How do I obtain a release of medical information form in New Mexico?
A: You can usually obtain a release of medical information form from your healthcare provider's office, hospital, or by contacting the New Mexico Medical Board.

Q: Are there any fees associated with obtaining my medical records?
A: In New Mexico, healthcare providers may charge a reasonable fee for copying and mailing your medical records.

Q: Can I specify which medical records to release on the form?
A: Yes, you can specify the type of medical records and the time period for which you authorize release on the form.

Q: Is there a time limit for how long a release of medical information is valid?
A: The validity period of a release of medical information may vary, but it is typically valid for a certain period of time or until you revoke it in writing.

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Form Details:

  • The latest edition currently provided by the New Mexico Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Health.

Download Sample Release of Medical Information - New Mexico

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