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Texas Medical Records Request Form – Hospital

Fax Cover sheet and Records Request letter sent to hospitals in which the patient in question may have received services, including labor and delivery, postpartum, emergency department, outpatient labs or imaging, behavioral health or substance use treatment, and allied health services.
Year of publication and/or last update:
2016
Source:
Texas Department of State Health Services
Resource Type Tags:
Templates
Review Stage Tags:
Case Abstraction
Case Identification
Case Selection
Role Tags:
Case Abstractor