Rheumatology Treatment Records Release Form
About this free form template

Managing rheumatology care often involves multiple specialists, treatment centers, and healthcare facilities. When transferring care or seeking second opinions, patients need a streamlined way to request comprehensive records that include autoimmune condition diagnoses, medication histories, infusion center documentation, and diagnostic imaging.

This Rheumatology Treatment Records Release Form template from Paperform provides a professional, HIPAA-compliant solution for healthcare providers, rheumatology practices, and medical records departments to efficiently process patient record requests. The form captures all necessary authorization details, specific record types needed, and recipient information in one organized submission.

Built specifically for rheumatology practices, this template includes specialized fields for autoimmune conditions (RA, lupus, ankylosing spondylitis, psoriatic arthritis), biologic medication trials (TNF inhibitors, IL-6 inhibitors, JAK inhibitors), infusion center visit notes, joint imaging studies (X-rays, MRI, ultrasound), and laboratory results including inflammatory markers and antibody panels.

With Paperform's conditional logic, the form intelligently adapts based on the types of records requested, ensuring patients provide all necessary information for processing. Integration capabilities mean you can automatically route requests to your EHR system, trigger workflow notifications via Stepper to coordinate between departments, or log submissions in your practice management software.

The professional design maintains patient confidence while gathering legally required authorization elements including purpose of disclosure, expiration dates, and signature capture. Whether you're a rheumatology specialty practice, hospital rheumatology department, infusion center, or multi-provider healthcare system, this template accelerates the records release process while maintaining compliance and improving patient experience.

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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
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