Medical Information Release is a legal document that was released by the North Dakota Secretary of State - a government authority operating within North Dakota.
Q: What is a medical information release?
A: A medical information release is a form used to authorize the release of your medical information to a third party.
Q: Why would I need to use a medical information release?
A: You would need to use a medical information release if you want a healthcare provider to release your medical information to someone else, such as another healthcare provider or an insurance company.
Q: Who can I authorize to release my medical information?
A: You can authorize specific individuals or organizations to release your medical information by listing their names and contact information on the form.
Q: Is a medical information release form required by law?
A: No, a medical information release form is not required by law. However, healthcare providers often require a signed authorization before releasing your medical information.
Q: Is there a cost associated with using a medical information release form?
A: There may be a fee associated with obtaining copies of your medical records, but there is usually no cost for using a medical information release form.
Q: How long does the authorization on a medical information release form last?
A: The length of the authorization can vary, but it is typically valid for a specific period of time, such as one year.
Q: Can I revoke the authorization on a medical information release form?
A: Yes, you can revoke the authorization on a medical information release form at any time by providing written notice to the healthcare provider.
Q: Can I use a medical information release form to request my own medical records?
A: No, a medical information release form is typically used to authorize the release of your medical information to third parties. To request your own medical records, you would usually need to use a separate form or process.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the North Dakota Secretary of State.