Common Contracts
2 similar Medical Record Access Agreement contracts
EPICCARE LINK ELECTRONIC MEDICAL RECORD ACCESS AGREEMENTMedical Record Access Agreement • December 9th, 2022
This is a fillable PDF. Please type in all information on this cover sheet and the following addendum, except for the signature blank on the right side of Page 5. This requires an actual signature or official electronic signature of someone authorized to sign for your organization. Please email the completed cover sheet and signed addendum to the EpicCare Link administrator at EpicCareLink@kumc.edu.
EPICCARE LINK ELECTRONIC MEDICAL RECORD ACCESS AGREEMENTMedical Record Access Agreement • November 18th, 2022
This is a fillable PDF. Please type in all information on this cover sheet and the following agreement, except for the signature blank on the right side of Page 5. This requires an actual signature or official electronic signature of someone authorized to sign for your organization. Please email the completed cover sheet and signed agreement to the EpicCare Link administrator at
