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Medical documents fall under the umbrella of legal documents and give doctors a broad view of a person's medical history before they make any important decisions regarding treatment. A medical document can be any of the following: operative report, mental status examination, medical test results, discharge summary, medical history report or a patient information leaflet.
Medical forms can be used for a variety of reasons. They may give a doctor consent to treat a patient, an insurance company consent to bill them for the services or simply provide a list of conditions and procedures related to the patient.
Patients who get more than one opinion on a diagnosis can benefit when medical records are up to date and doctors can review the patient's entire medical history. This can protect patients from medication errors, misdiagnoses and unnecessary treatments.