Medical Records Release Form 2018

Medical Records Release Authorization 2018

Please download the Medical Records Release Form by clicking on the link above. You can  upload the completed and signed form in your application or you can send it to The Samfund and we will upload it for you. If you need to fax a form to us (at 1-866-496-8070), or need us to upload a form for you, please be sure we have received it by August 15, 2018 in order to guarantee it will be uploaded in time for the deadline. You may send it after that date, but we cannot guarantee it will be uploaded in time, so please start early!