Interventional Radiology Procedure Records Release Form

Streamline Your Interventional Radiology Records Release Process

Managing medical records requests for complex interventional radiology procedures shouldn't require endless paperwork and phone calls. This Interventional Radiology Procedure Records Release Form template provides healthcare facilities, imaging centers, and radiology departments with a secure, HIPAA-compliant way to process patient requests for procedure documentation, diagnostic images, and follow-up reports.

Whether your patients need records for second opinions, specialist referrals, or continuing care at another facility, this template captures all the essential authorization details and specific procedure information required for accurate records retrieval. The form guides patients through identifying exactly which interventional radiology procedures they need released—from image-guided biopsies and embolization procedures to catheter placements and follow-up imaging—ensuring your records department has complete information to fulfill requests efficiently.

Perfect for Healthcare Providers

This template is designed for interventional radiology departments, hospital medical records departments, outpatient imaging centers, and healthcare facilities that perform minimally invasive image-guided procedures. It's equally valuable for radiology practice administrators, health information management professionals, and patient access coordinators who handle daily records release requests.

Automate Your Workflow with Stepper

Once a patient submits this form, you can connect it to Stepper to automatically route requests to the appropriate department, create tasks in your practice management system, send confirmation emails to patients, and track fulfillment status—all without manual data entry. You can even set up conditional workflows based on record type or urgency, ensuring rush requests get priority attention.

Security You Can Trust

Built on Paperform's SOC 2 Type II compliant platform, this template includes patient identification verification, detailed authorization sections, and secure file upload capabilities. Every submission is encrypted and can integrate directly with your existing EMR system or health information management tools.

Get Started in Minutes

Simply customize the form with your facility's information, adjust the procedure types to match your specific services, add your logo and branding, and start accepting records requests immediately. No coding required—just edit like a document and publish.