Limited Hospital
Check A record search of three (3) hospitals. Perfect for small towns,
sparsely populated areas or spot checks. Includes a FREE SSN Index to
I.D. other names and addresses, with a special color-coded report.
Note: Whenever possible, please include a completed release form with
orders for or including Hospital Record Checks
or Medical Provider Checks.
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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