Medical Examiner Records Request Form

Form Template

This Medical Examiner Records Request Form Mobile App is for requesting medical examiner records.

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Created by: Team GoCanvas
Language: English
Country: United States of America

Any parent, spouse, sibling, child or personal representative of the deceased, or any person who may be criminally or civilly liable for the death, or their authorized representatives respectively, or those within the bounds of the Protection and Advocacy for Individuals with Mental Illness Act, may examine and obtain copies of any medical examiner's report, autopsy report or laboratory test report ordered by a medical examiner. As a patient representative, use this app on behalf of a patient when a death has occurred to understand the manner of death and access full patient records, including medical examiner certification. As a family member of a deceased patient, use this app to perform a death investigation through medical sources. Here at GoCanvas we are always striving to bring you new features as quickly as possible.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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