tangl

Gather your records before your visit

Choose the records you may have. The tool will make request letters you can print or save.

Not sure counts as an answer. Most people do not remember exactly what testing they have had. Choosing Not sure is more useful than guessing, and you will get a short list of things to ask about instead.

Have you had any of these?

Records for a relative

I am also trying to get records for a relative

Records from an affected relative may help clarify the family history. The request process is different.

I have not had any testing

Nothing at all so far.

Before the packet

Add the patient details once.

The tool will place them into each request letter. Fields marked * are needed only when a letter will be created.

Kept only in this open page. The site does not send these details anywhere or add them to browser storage. Refreshing or closing the page clears them. A packet you print or save will contain the information you enter.

Patient's full name Date of birth Patient's phone number Patient's mailing address

Who is completing this form?

I am the patient I am helping the patient. The patient will sign. I am the patient's legally authorized representative and will sign.