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Direct Access Patient Attestation and Medical Release Form - Virginia
Direct Access Patient Attestation and Medical Release Form is a legal document that was released by the Virginia Department of Health - a government authority operating within Virginia.
FAQ
Q: What is a Direct Access Patient Attestation and Medical Release Form?
A: The Direct Access Patient Attestation and Medical Release Form is a document used in Virginia to allow a patient to attest that they understand the potential risks of direct access services and authorize the release of their medical records.
Q: What is direct access?
A: Direct access refers to the ability of patients to see a physical therapist without a physician referral in certain states, including Virginia.
Q: Why is the Direct Access Patient Attestation and Medical Release Form important?
A: This form is important because it ensures that patients are aware of the risks and potential benefits of direct access services, and provides consent for the release of their medical records.
Q: Who needs to fill out this form?
A: Any patient seeking direct access services from a physical therapist in Virginia may be required to fill out this form.
Form Details:
- Released on July 1, 2023;
- The latest edition currently provided by the Virginia 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 Virginia Department of Health.
