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Form OHP729H Administrative Medical Examination / Report Authorization (Medical Records Request) - Oregon
What Is Form OHP729H?
This is a legal form that was released by the Oregon Health Authority - a government authority operating within Oregon. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form OHP729H?
A: Form OHP729H is used to authorize the release of medical records for administrative medical examinations in Oregon.
Q: Who is required to complete Form OHP729H?
A: The individual undergoing an administrative medical examination is required to complete Form OHP729H.
Q: What information is needed on Form OHP729H?
A: Form OHP729H requires information such as the patient's name, contact information, authorization details, and reason for the medical records release.
Q: Can I use Form OHP729H to request medical records for other purposes?
A: No, Form OHP729H is specifically designed for authorizing the release of medical records for administrative medical examinations in Oregon.
Form Details:
- Released on November 1, 2021;
- The latest edition provided by the Oregon Health Authority;
- 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 OHP729H by clicking the link below or browse more documents and templates provided by the Oregon Health Authority.
Download Form OHP729H Administrative Medical Examination / Report Authorization (Medical Records Request) - Oregon
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