Adoption Home Study Medical Records Request Form

Adopting a child is a significant life decision that requires thorough preparation, and obtaining proper medical documentation is a critical step in the home study process. This Adoption Home Study Medical Records Request Form streamlines the process of requesting and releasing comprehensive medical records needed to demonstrate physical and mental fitness for prospective adoptive parents.

Adoption agencies, social workers, and healthcare providers rely on this form to ensure all necessary medical documentation—including physical examinations, mental health clearances, and communicable disease screenings—is properly requested, authorized, and transferred. With Paperform's intuitive interface and secure submission handling, gathering sensitive medical information becomes more organized and compliant.

This template is designed for adoption agencies, family services organizations, social workers, healthcare providers, and prospective adoptive parents who need a professional, HIPAA-aware solution for medical record requests. The form includes all essential authorization fields, detailed information about what records are being requested, and clear consent language to ensure compliance with medical privacy regulations.

By using Paperform's conditional logic, you can customize which sections appear based on the type of records being requested, and with Papersign integration, you can seamlessly obtain legally binding signatures on authorization forms. Additionally, Stepper can automate follow-up workflows—sending reminders to healthcare providers, notifying case workers when records are received, and keeping all stakeholders informed throughout the process.

Whether you're a licensed adoption agency managing multiple home studies, a social worker coordinating with medical offices, or a healthcare administrator responding to record requests, this template provides the structure and professionalism needed to handle sensitive medical information with care and efficiency.