Information being requested and dates of service. Hours: Monday-Friday, 8 am4:30 pm.

Accessing a Health Record. Fax: 909-558-2454

For medical records from inpatient, ambulatory surgery, and emergency room visits, send the Medical Records Release form to: MedStar Georgetown University Hospital 3800 Reservoir Road, NW Bles Building Lower Level, Room 140 Washington, DC 20007 Attention: Medical Correspondence P 202-444-3392 F 202-444-8494 (For Stat faxes only) 90033 Or FAX TO (323) 442-5641 There will be a $15.00 flat fee if records are picked up.

Rush University Medical Center ATTN: Health Information Management Office 1611 W. Harrison St., Suite 001 Chicago, IL 60612 Please allow seven to 14 days for processing. Email, fax, or mail a written and signed request to the UCHealth Health Information Management department.

The Release of Information Department processes all types of requests for copies of the patient's health information. Hospital Information. Patients and proxies can request records through their MyChart account for records starting 5/6/2012. P.O. Health (6 days ago) Your UH Personal Health Record.Accessible from any computer, tablet or smart phone, the University Hospitals Personal Health Record (PHR) allows you to receive results, email a doctor, refill a prescription, request or change appointments and so much more - all from the comfort of home or on-the-go, available 4000 Cambridge St., Suite BH 2360. If you require the information in less time or on an emergent basis, you may call our call center to schedule a time to pick up your records at one of our four hospital medical records locations. If mailing, please include the facility name, address and Attn: Health Information Management on your mailing envelope. A fee to cover the cost of copying and postage is charged for copies of medical records. Please allow 7-10 business days to process your request. You may access your health information. To request any portion of your medical record, please print and complete the authorization to release patient information form and fax, mail or bring it to your physician's office..

Request medical records for healthcare providers. Email: Medical Records Department. Iowa City, IA 52242. Submit the completed request to: You also can fax your completed form to 706-774-8737 or email [emailprotected] If you have any questions or would like a Release of Medical Information form sent to you, please call 706-774-5861 or email [emailprotected]

You can now request your medical records for your personal use from any UMMS hospital using the MyPortfolio patient portal. Temple University Hospital Patients.

Non-patient/guardian requester.

SP13018 Authorization for Release of Medical Information (9/16) 803233

Kansas City, KS 66160. For information regarding record requests for minors or any other questions, please contact the Health Information Management Department. Current or former patients of Temple University Hospital (and also including our Episcopal and Northeastern campuses) who would like to request a copy of their medical records, please contact Health Information Management: Phone: 215-707-3755. Business hours: 8:00 AM to 10:00 PM, every day.

Email [emailprotected] To ensure proper handling, please copy (cc) [emailprotected] Put "Open Records/Information Request" in the subject line. (link is external) , you can submit requests for copies of medical records from the portal by using the Medical Record Request form listed under the My Record section. Stony Brook University Hospital Health Information Management Department Release of Information Division MR, Room # 104 Stony Brook, NY 11794-7131. Patient Medical Record Request Process for Ochsner University Hospital & Clinics. Can you fax my medical records to my physician? You also may arrange to pick up your medical records in person at any of our Medical Records locations. **If other than patient's signature, a copy of legal documents MUST accompany the authorization when presented; the exception is a parent of minors under 18 years of age. The AHR team will then check the validity of the request and send you an acknowledgement letter. 400 Parnassus Ave., Room A88. If you have any questions about how to request a patient's records, please call 301-896-3777.

Medical Records Medical Record Information To request a copy of your medical records, print and submit a completed Authorization for Disclosure of Health Information form to the location where you received care.. Outpatient Records. For questions regarding obtaining medical record copies, or to obtain the status of your request: Phone: (866) 270-2311. Looking for University Hospital in Augusta, GA? The Health Information Management Department at UAMS fulfills requests for release of medical records for all patients at UAMS. A person requesting medical records must submit a written consent with the following information: Patient name, date of birth, contact information and last four digits of your SSN.

You will need to fill out a Release of Information Authorization form - PDF (release form) and bring it with you to request your records along with a photo ID, or see below for other ways to request your records.

To safeguard your privacy, complete and sign a protected health information (PHI) release form. Something doesn't look right.

Medical Records. The Medical Records Departments hours of operation are Monday Friday, 8 a.m. 4 p.m.

Patients are encouraged to request health information online using the MyUHealthChart patient portal. Please include a copy of your State ID, Drivers License and/or Passport, as we need to verify your identity prior to releasing a copy of your medical record. Medical Records Requests Request Online. Please request any medical records by phone, fax or mail as outlined below. The first copy of your records is free. See below for the individual hospital locations. Medical records must be completed by all physicians involved in the patient's care prior to being copied and released to the patient. All other requests: 614-366-9442. NEW! The requested records will be mailed within 10 days of your request. Our staff is here to ensure the confidentiality of all patients' records by offering you the following options for safely and securely requesting your medical records. Written authorization is required for medical records and must be submitted directly to the hospitals Health Information Management department. A medical record is documentation of health care services provided to you at the direction of a physician, nurse or other caregiver.

Las Vegas, NV 89102. To make it easy for you, you can download and print our Medical Information Release form or obtain a form from any patient care unit at a St. Lukes University Health Network facility. You are welcome to stop by our office at the Main Hospital downtown. Fax or mail it back to us, to the attention of the Health Information Management Office. Department of Radiology-RIC. There is no charge to you for your medical records if we send them to another health care provider.

Medical Records Release Form . UNM Hospital Medical Records. Suburban Hospital Medical Records 8600 Old Georgetown Rd.

Health Records Manager Health Records Department Cardiff and Vale University Health Board University Hospital of Wales Heath Park Cardiff CF14 4XW Tel: 029 2074 6500 E mail: [emailprotected] Download and complete our Authorization to Disclose Protected Health Information. This box must be checked for ALL releases of records authorized by legal representatives.

For immediate continuity of care, your healthcare provider can request records. Mail your request. Fax your request to Medical Information Management, at one of the fax numbers below: Continuing care: 614-293-5888. Please note that medical records staff are not authorized to verbally release information about COVID-19 test results. Fill out a medical records release form. Choose Medical Record Request and follow the prompts. To request a copy of your medical records, please print out the authorization to release patient information form and fax, mail or bring it to our Medical Records Department, located on the first floor of CVPH. 1.

Medical Records staff are available Monday through Friday from 8:30 am to 5:00 pm. Download the Medical Records Release Form.

To release your medical information from Vanderbilt University Medical Center, you must: Complete all sections of the Authorization for Release of Medical Information form.

SP13018 Authorization for Release of Medical Information (9/16) 803233 UVA Health.

Most people just need a portion of their record, though you can get your whole record if needed.Please note on the form exactly what information you need. It applies to your health records. If you would like to see or receive a copy of your medical records at University Health, we are committed to completing your request in a timely manner. Cooper University Health Care Health Information Management 1 Federal Street, Suite 200 Camden, NJ 08103-1118.

Medical Record Request. University Hospital.

Medical Record Request. Outpatient record requests must be submitted to the specific department in which the service was received. However, California law prohibits the person receiving my health information from making further disclosure of it unless another Phone: 315 464-7832.

The University of Kansas Health System. Main Content Request Medical Records and Images. 4000 Cambridge St., Suite BH 2360. You can request copies of your medical record information by:

The Release of Information Department processes all types of requests for copies of the patient's health information.

Mail the original form to Howard University Hospital Medical Records Department, 2041 Georgia Ave NW Room 2038 A, Washington, DC 20060 OR drop it University Health Network is a health care and medical research organization in Toronto, Ontario, Canada.

physician, nurse practitioner, nurse, etc.) To request your medical records from a medical group location - including medical group offices located on hospital campuses, use the region specific links below. St. Louis, MO 63110. You can fax, mail, If you prefer to have the Authorization to Release Patient Health Information Form mailed to you, or if you have any questions, please call Tenet Records

The mailing address is: Health Information Management Department University Medical Center of Southern Nevada 1800 W. Charleston Blvd. Electronic medical record; Laboratory test results; Radiology and diagnostic testing results; If the information required is not found in the FollowMyHealth patient portal or an official copy is needed, please follow the instructions below and complete the Northwell Health Authorization form to help us process your request. The patient does not automatically receive a copy of his/her medical record upon discharge from the hospital. For access to a deceased patients medical records .

To request a copy of your medical records, click and print the authorization form, complete the form, sign and date it. Clara Maass Medical Center.

Medical Records & Online Charts. Criteria. To obtain test results, patients should: Log into their My Health at Vanderbilt account - OR - Call their healthcare provider or clinic - OR -

The volunteers at the Patient Information Desk, in the main lobby, will help you if you need directions. You have a right, by law, to access your own hospital health record either by 3691 Rutger St., Suite 101.

For questions about radiology requests, call 913-588-6812. For assistance call (866) 463-7272.

This box must be checked for ALL releases of records authorized by legal representatives.

Request Your Records in Person . I authorize University Hospital to disclose my medical records to: (Provide specific type of records or request complete medical record, note billing records must be requested separately) 3. For additional information during normal business hours, please call Ohio States Medical Information Management: Main Campus at 614-293-8657. Please note: UT Southwestern Medical Center physicians/providers are not the custodian of the medical records.

UW Carbone Cancer Center.

To start your request, simply download, print, complete, and sign the Authorization for Disclosure of Protected Health Information Form. Access to Health Records. Requests for copies of medical records for continuing care to be sent directly to another healthcare provider are free of charge. The Release of Information staff can provide an expected date of delivery for the records at the time the request is submitted. For questions about radiology requests, call 913-588-6812. To have a copy of your medical records sent to another medical facility or to obtain a copy for personal reasons*, please complete the following steps: Step 1: Download and complete the Emory Healthcare Authorization for the Release of Protected Health Information forms Request Medical Records. Medical Records Consent Medical records are the physical property of the hospital.

Please follow these instructions to request a copy of your medical records from Howard University Hospital. In processing this request, you will be asked to validate your identity and give authorization for your record's release.

Our fax number is: 702-383-2012 Banner Health Information Management Services department is responsible for keeping complete medical records for each patient. Authorization to access medical records must be less than one year old. The form can also be faxed to 913-588-6899. For physician office records, please contact the office.

For immediate continuity of care, your healthcare provider can request records. Medical Records - Jefferson Cherry Hill Hospital - Phone: 856-922-5116 , Fax: 856-922-5109. Requests can only be for yourself, as

Send medical record requests to: Health Information Management (Medical Records) University of Iowa Health Care. The normal turnaround time to receive copies of records is 7-10 business days. All UW Health clinics. We would also be happy to fax or mail a copy of the release form to you.

Bethesda, MD 20814 Main hospital: 301-896-3100 Patient Relations: 301-896-2000 Fax: 301-896-7352.

To request medical records, you may visit the Health Information Department located on the first floor at Ochsner University Hospital & Clinics or have your provider fax an authorization for release of information to 337-261-6077.

Call 859-323-5117 for more information. Medical Records Phone: 315 464-7832.

My Personal Health Record MyUHCare University . records. For all other requests, there is a reasonable cost based fee for copies of medical records in accordance with the New Jersey Department of Health recommendations. Request Medical Records. The department is closed on weekends and major holidays. Email: Drake-Medical-Records@uchealth.com Fax: 513-418-2533. San Francisco, CA 94143-0308. A standard fee of $1.00 per page will be charged for additional copies.

A completed and signed Disclosure of Medical Record Information form; The Once received health records will notify the health care provider of your request. Mail or fax the form to: Health Information Release Services 660 S. Euclid Ave., MSC 1219-35-3 We help you request your medical records, get driving directions, find contact numbers, and read independent reviews.

Health Information Management. Fax to: 434.924.2432. Complete the entire form, taking note of the following information: Robert Wood Johnson University Hospital (RWJUH) is committed to respecting and protecting the rights of patients and families. Fill out a medical records release form. Medical Records Request. For questions or issues about medical records or Email Your Request. Fax completed form to 609.853.7051 or mail to: HIM Department, Princeton Medical Center, One Plainsboro Road, Plainsboro, NJ 08536.

You may mail the request to the centralized release of information department: Duke University Hospital.

Department of Radiology-RIC.

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