HIPPA Medical Records Release Log
Total Page:16
File Type:pdf, Size:1020Kb
Dr. Lorilee Schoenbeck, ND 23 Mansfield Avenue Burlington, VT 05401 Tel: 802-860-3366 Fax: 802-304-9161 HIPAA Medical Records Release Log
Date Request For Release From What Who Was Sent Released? Records? See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form See Disposition Form