Contact Information. Medical Records How to Obtain Medical Records. Corporate Health Information Management PO Box 32861 Charlotte, NC 28232-2861 Fax: 704-446-6037 Walk-In: You may stop by at any of our locations during specific walk-in hours. Medical Records. IU Health and Riley Children's Health takes particular care to ensure the safety and security of our pediatric patients. Retrieving your OLBH medical records. (To calculate this, take the current year and subtract 62.) Medical Records for Oklahoma City-metro Hospital Patients. UMMC Medical Records office hours. Location: National Personnel Records Center 1 Archives Drive St. Louis, MO 63138. 336-716-5271 (FAX) Request for Records Form (PDF) Formulario Para Solicitor Registros. UCLA Health Health Information Management Services 10833 Le Conte Ave., CHS, BH-902 Los Angeles, CA 90095. Attn: Medical Records Addresses listed in Locations section on this website. There are no charges when records are sent directly to another physician or medical facility. Hours of Operation Bring the completed form to the medical records office at Phoebe Putney; Bring a picture ID to the medical records office at Phoebe Putney; Mail completed release form to: Phoebe Putney Memorial Hospital Attn: Medical Records Dept. Medical Record Release requests may be faxed to (239) 939-6579 for processing or to the corresponding location listed below in the Locations section. Submit a request via your patient portal; Printed copy. Requirements/Tips. If you have any questions regarding release of health information from Stanford Health Care, please call 650-723-5721. 336-716-3230. ... Release of Information/Medical Records Contact. Requesting Other Types of Records. Forms should be sent to: Attn: Health Information Management Clara Maass Medical Center 1 Clara Maass Drive Belleville, New Jersey 07109 (973) 450-2064 Detroit, MI 48202 Telephone Number: (313) 916-4540 Hours of Operation: 8:00 a.m. – 4:30 p.m. (Monday – Friday) Henry Ford Macomb Hospitals Attn: Medical Records Patients may have access to their complete medical records upon request. This process may take up to 30 days. To obtain copies of medical records see below for directions of how to request copies. Fax Number Medical Records . Records of any veteran who separated from the military 62 (or more) years ago can be ordered by anyone for a copying fee. To request copies of your bill or if you have a question about your bill please contact the billing office at (804) 267-3700 . Dallas, TX 75235. To begin the process of obtaining copies of your medical records, please print and complete the Patient's Request for Access to Protected Health Information. Contact your respective facility via phone or complete and submit the correct form listed below. You must submit a request to obtain your Imaging Studies. Virginia Mason is happy to provide a copy of your health information (medical records, medical release form) at no cost to you. If you are requesting Radiology reports and Imaging CDs, you may contact Radiology Medical Records. Please be prepared to show a picture ID when picking up. Complete a Radiology Records Request Form here. The first copy of your records is free. Stanford Health Care medical records. Non-archival records are subject to access restrictions. Reynolds Memorial Hospital is a nonprofit, acute-care community hospital located in Glen Dale, WV. Authorizations must be signed by the patient or the patient’s legal representative. The medical records department maintains medical patient data in a secure manner, allowing release only to recognized entities with a legal right to review the contents. When requesting copies of medical records or medical information of the types below, contact the responsible treatment area as indicated. We make every attempt to protect the privacy of patient information so it is not heard, read or shared with others for any reason other than to promote the best healthcare for our patients. Records are available electronically for services received after May 2010 with the exception of entire medical records for services provided at University of Miami Hospital and Clinics inpatient units. Contact Medical Records to request your records on paper or in electronic format. The medical records office is located on the first floor of the main hospital. King's Daughters does not have copies of patients' OLBH records unless the patient has made specific arrangements to have the records transferred to us. Requesting Unity Hospital Medical Records. Medical Records Requests. To obtain copies of your Our Lady of Bellefonte Hospital medical records, please contact CIOX at 1-866-625-7130. Medical Records. Telephone Number: (310) 825-6 021 Email: Roi@mednet.ucla.edu B usiness Hours: 8:00 am - 4:30 pm, Monday to Friday. TIPS. You may deliver your forms in person or by mail. To obtain a copy of a medical record, please print, complete and mail the medical record release form (available as PDF) to the hospital. With a My IU Health account, you can access to an electronic version of your child's medical records immediately. Office hours at all locations are 8:30 a.m. to 5 p.m., Monday-Friday. For questions regarding requests for copies of medical records, please contact the Health Information Management (HIM - formerly known as Medical Records) Department at 803-329-6870. Business hours are 8 a.m. to 4:30 p.m., Monday through Friday, and closed on Holidays. To follow up on a request please call (804) 267-2539 or toll free at (877) 302-7338 . Assisting families with the medical, emotional, social, and financial challenges associated with their child's condition. There may be a charge for copies of your medical records. Be sure to include both the name and address of where you would like your records released to. Deliver this form to: Hours: Monday – Friday, 8 a.m. – 5 p.m. Closed on holidays. We are governed by a 25-member volunteer board of directors and licensed for 90-beds and a 20-bed Skilled Nursing Unit. Phone Number: 315-477-9596 In order to. Monday-Friday: 8 am - 4 pm Closed on Holidays. Request your medical records. MyBanner Patient Portal Access your health information anytime, anywhere. Please keep a personal copy of any information you request to avoid paying for your records. Health Information Management (Medical Records) University of Iowa Health Care 200 Hawkins Drive, HSSB Suite 100 Iowa City, IA 52242 Email: him-consentform@uiowa.edu Fax: 1-319-356-3079 Consider Using MyChart. Hours: Monday–Friday 8:30 a.m. – 4:30 p.m. For questions and fees, call: 505-272-2141 Medical records requests fax: 505 … Patients can order copies of their medical records by filling out our authorization form below and paying a fee based on the number of pages requested. To request your billing records, please contact the business office at 704-512-7171. Obtaining Copies of Your Medical Records. Request Medical Records Welcome to ARMC Health Information Management-Medical Records. 417 Third Avenue (31701) P.O. Online. HIM maintains the legal medical record for all Orlando Health patients. To request copies of your records, please fill out and return the Virginia Mason Authorization to Release Patient Health Information form. Accessing Medical Records with My IU Health. The patient may receive a copy of his/her medical record upon completion and a fee may apply. A standard fee of $1.00 per page will be charged for additional copies. Be as specific as you can about the information that you'd like released (e.g., specific dates of service, specific treatments, just immunizations, etc.). Our Release of Information Department is responsible for providing patients, along with third party requestors, copies of medical records and imaging. Should you require a copy of medical records for yourself or on behalf of an adult family member, please use the guidelines below. CDs may be mailed or picked up in person during business hours. Gundersen Health System respects each patient's right to confidentiality and privacy of healthcare information. Mailing Address. Medical Records Office Phone: 714.999.6126 Fax: 714-999-6165 Hours: M-F 8:00-4:30 (closed major holidays) Requests for Medical Records. Telephone number: (517) 205-4936 Hours of Operation: 8 a.m. – 4 p.m. (Monday – Friday) Henry Ford Hospital and Health Network Attn: Medical Records 2799 West Grand Blvd.
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