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Form SFN51939 Medical Records Release - North Dakota
What Is Form SFN51939?
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SFN51939?
A: Form SFN51939 is a Medical Records Release form used in North Dakota.
Q: What is the purpose of Form SFN51939?
A: The purpose of Form SFN51939 is to authorize the release of medical records in North Dakota.
Q: Who can use Form SFN51939?
A: Form SFN51939 can be used by individuals who want to authorize the release of their medical records.
Q: Is there a fee for using Form SFN51939?
A: There may be a fee associated with requesting the release of medical records. It is best to check with your healthcare provider for more information.
Q: How should I fill out Form SFN51939?
A: You should read the instructions carefully and provide all the required information, including your personal details and the information of the healthcare provider you authorize to release your medical records.
Q: Can Form SFN51939 be used for any healthcare provider in North Dakota?
A: Yes, you can use Form SFN51939 to authorize the release of your medical records from any healthcare provider in North Dakota.
Form Details:
- Released on November 1, 2017;
- The latest edition provided by the North Dakota Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SFN51939 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
