For 2024, ensure your medical records are updated by the end of Q1. In 2025, expect to review your information yearly to comply with health regulations.

The purpose of this form is to allow patients and healthcare providers to access and manage medical records efficiently. It ensures that individuals have up-to-date information regarding their health status. Proper management of medical records enhances patient care and compliance with health standards.

• 1. Medical Record Number: A unique identifier for each patient.
• 2. Patient Name: The full name of the patient associated with the record.
• 3. Contact Information: Details for reaching the patient or their representative.
• 4. Primary Provider: The main healthcare provider associated with the records.

Failure to submit this form could result in delays accessing critical health information. Patients may experience difficulties in scheduling appointments or receiving timely care.

• Access Delays: Patients may struggle to receive timely medical care without updated records.
• Information Inaccuracies: Incorrect details can lead to potential errors in treatment or medication.
• Compliance Issues: Failure to maintain accurate records may result in non-compliance with healthcare regulations.

• 1. Annual Record Review: Use the form to ensure your records are accurate during yearly check-ups.
• 2. Before Medical Procedures: Verify your MRN prior to any scheduled medical procedures.
• 3. Transferring Care: When changing providers, use this form to ensure smooth transitions.