Midwife Medical Records Release

Form Template

Use the Midwife Medical Records Release mobile app to allow patients authorize and to give permission to share medical information protected health information.

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The app allows the patient to state the purpose of sharing the health information. The authorization release is good for one year from the date of signature. Records released herein may include treatment of physical/mental illness, alcohol/drug abuse, and sensitive medical history.

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">GoCanvas has a collection of apps developed for Midwives and Doulas. They are all Free with your GoCanvas Subscription. Check them out in our Application Store!

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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