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Medical Record Release Forms

Please complete the following forms to allow the release of your prior health care information to Community Health.

We want you to be aware of your rights, choices and how we use and share your health information:

Notice of Privacy Practices

TitleCategoriesLink
Behavioral Health Records Release Authorization,
Download
Dental Records Release Authorization Form,
Download
Medical Records Release Authorization,
Download

 

Medical Record Release Forms Locations

Community Health Medical Records

71 Allen Street, Suite 402
Rutland, VT 05701

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