EHS Medical Record Release - for away rotations
Outside institutions often require proof that residents rotating to their facility have completed certain health screenings, like a PPD test. Harbor's Employee Health Services can assist with these requests. Here are instructions:
- Download Release Form
- Complete form and obtain trainee signature; include an explanation about why you are making the request, (i.e. Resident is rotating to Kaiser on 1/4/05 . . .)
- Fax (310-222-5326), mail (Box B451) or deliver to Employee Health (room B-03)
If you have questions, contact Employee Health at 310-222-2360.
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