Medical Release Form - Generic Template

Form Template

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Medical Release Form - Generic Template mobile app allows any medical facility or hospital to create electronic authorization to release medical information forms quickly and easily.

The medical release permission form, which complies with HIPPA privacy practices for provider disclosures, includes fields for all of the important details, including patient social security number, parents or guardians signature, hospital provider disclosure and other important details. Once the form template has been completed, the authorization to release medical information form is automatically saved for your records.

Features
  • Image 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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