Medical Records Chain of Custody Form (WORD)

This form is referenced in FOM Chapter III - Inspection Procedures, paragraph D.6.a.ii.F,- Inspection of Records and Posting, for maintaining chain of custody of medical records transferred to or removed from their storage in locked file cabinets. Note: Information can be typed into this form.

Document Information

Document Number: MR 2
Effective Date:

Archived Versions

Title File Name Archived Date
MR 2(archived) App3GmedrecchainofcustTO.doc

FIS Section

Forms

Inspection Guidance

Forms