Enhanced
Accident History-Plus
Includes everything contained in
Accident
History-Plus, plus an Enhanced (8) 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
(HIPPA) 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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