Primary Care Physician Records Transfer Form
About this free form template

Streamline Patient Onboarding with a Medical Records Transfer Form

Transferring care between primary care physicians should be seamless for both patients and healthcare providers. This Primary Care Physician Records Transfer Form helps medical practices, clinics, and healthcare facilities efficiently collect authorization for medical record transfers during new patient onboarding.

Why Healthcare Providers Need Digital Records Transfer Forms

When welcoming new patients, obtaining complete medical histories is essential for continuity of care. This form template helps you:

  • Collect comprehensive authorization for medical records release in compliance with HIPAA regulations
  • Capture detailed previous provider information to facilitate smooth record transfers
  • Document specific record types needed including immunization history, chronic condition summaries, and current medication lists
  • Reduce administrative overhead by replacing paper forms with digital workflows
  • Ensure complete patient histories are available before the first appointment

Perfect for Primary Care Practices and Medical Facilities

This form is designed for physicians, nurse practitioners, medical office managers, and healthcare administrators who need to:

  • Onboard new patients efficiently with complete medical histories
  • Transfer pediatric immunization records for school requirements
  • Document chronic disease management from previous providers
  • Ensure medication continuity and prevent adverse interactions
  • Maintain compliance with medical records retention and transfer regulations

Automate Your Healthcare Workflows with Paperform and Stepper

Beyond capturing the initial request, you can connect this form to Stepper to automate your entire records transfer workflow:

  • Automatically generate fax or email requests to previous healthcare providers
  • Send follow-up reminders when records haven't been received
  • Update your EHR or practice management system when records arrive
  • Notify clinical staff when patient files are complete and ready for review
  • Track records request status across your entire patient population

With Paperform's secure, SOC 2 Type II compliant platform, you can trust that sensitive patient information is protected throughout the transfer process. The form's conditional logic ensures patients only see relevant fields based on their specific situation, creating a streamlined experience that respects their time.

Whether you're a solo practitioner or managing a multi-provider practice, this medical records transfer form helps you deliver better patient care by ensuring complete health information is available from day one.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.