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Request records, forms & certifications | Kaiser Permanente

    https://healthy.kaiserpermanente.org/support/medical-requests
    Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont …

Release of Medical Information | My Doctor Online

    https://mydoctor.kaiserpermanente.org/ncal/health-guide/release-of-medical-information
    Release of Medical Information | My Doctor Online Medical Forms, Records, and Certifications Working with our doctors, our Release of Medical Information (ROMI) …

How to access your health records and …

    https://insider.kaiserpermanente.org/how-to-access-your-health-records-and-medical-forms-online-at-kp-org/
    May 26, 2021 On kp.org, you can request your personal health record with all your health information, as well as forms like FMLA certifications, …

Authorization For Use or Disclosure of Patient …

    https://mydoctor.kaiserpermanente.org/ncal/Images/318413%20-%20English%20Medical%20Release%20form_tcm75-333216.pdf
    OF PATIENT HEALTH INFORMATION. ORIGINAL - DISCLOSING PARTY. CANARY - PATIENT. Kaiser Foundation Hospitals. Permanente Medical Groups. NS-9934 (2-11) …

Authorization to Disclose Health Information - Kaiser …

    https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/forms/authorization-to-disclose-health-information-ca-en.pdf
    1) Complete the patient identification information on the top right-hand corner 2) Complete all required information for the recipient including a valid email address 3) Check the box …

Authorization for use or disclosure of patient - Kaiser …

    https://wa.kaiserpermanente.org/static/pdf/public/customer-service/release-authorization.pdf
    Kaiser Foundation Health Plan of Washington Release of Information MAILSTOP: ACN-AC3 PO Box 204 Spokane, WA 99210-9809 Phone: 509-241-7824 Hours: 8 a.m. to 5 …

Release of MEDICAL INFORMATION

    https://ecommerce.issisystems.com/isite396/eremitimages/396/461/documents/kaiser/Kaiser-Release-of-Information-Unit.pdf
    Kern County Release of Information Unit1200 Discovery Drive2ndFloor, Ste. 200Bakersfield, CA 93309 661-852-3450 [email protected] Los Angeles Release …

KP Downey Release of Information Flyer | Downey

    https://thrive.kaiserpermanente.org/care-near-you/southern-california/downey/home/new-members-get-started/kp-downey-release-of-information-flyer/
    KP Downey Release of Information Flyer | Downey Downey Home > Southern California > Downey > New members - get started > KP Downey Release of Information Flyer …

Our locations - Roseville Sacramento

    https://thrive.kaiserpermanente.org/care-near-you/northern-california/northvalley/departments/release-of-medical-information/our-locations/
    Release of Medical Information (ROMI) Our locations Release of Medical Information Overview Our locations Our locations Davis Medical Offices Downtown Commons …

Release of Information unit locations Southern California …

    https://ecommerce.issisystems.com/isite396/eremitimages/396/461/documents/kaiser/Release%20of%20Information%20Unit%20Locations.pdf
    The Kaiser Permanente Release of Information offices are available for requesting and following up onrequests for medical records. Contact the office in your area if: You have …



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