Basic Injury/Background Report An especially revealing combination of background and
accident-related information, all in one convenient report. Includes all
19 searches contained in the Basic Background
Report, plus a Basic (6) Hospital Record
Search.
Note: Whenever possible, please include a completed release form with
orders for or including Hospital Record Searches
or Medical Provider Searches.
Please have the release form completed by the subject and fax, mail or e-mail a scanned
copy. This form conforms with Health Information Personal Privacy Act
(HIPAA) consent requirements.
Click
here to open the Release Form in MS Word format.
Click here to open the Release Form in PDF format.
Copyright
2005 Factel, Inc.®
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