Gundersen Health System respects each patient's right to confidentiality and privacy of healthcare information. To schedule an exam your doctor has ordered, call 304-285-2250. Also known as Protected Health Information (PHI), your medical records are available to you on paper or CD. 1. You can ask to see or get a copy of your medical records and other health information. Contact Information. By Phone: Please contact the correspondence coordinator in Health Information Management at 413-284-5391. Cheyenne Regional Medical Center. Please allow seven to 14 days for processing. Telephone Number: (310) 825-6 021 Email: Roi@mednet.ucla.edu B usiness Hours: 8:00 am - 4:30 pm, Monday to Friday. Birth and Death Certificates: Contact Broward County Vital Statistics: 954-467-4413. Complete Patient Access Request Form . 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. To get a copy of your Southwest Medical records: Request for Medical Records (English) Request for Medical Records (Spanish) 2. Until further notice, Medical Records will be temporarily closed to walk ins due to the COVID 19 virus. After-hours medical advice (non COVID-19) 812-855-4011, option 5: After-hours COVID-19 medical advice: IU Health Virtual Screening Clinic. Indiana University Health West Hospital in Avon, IN is rated high performing in 3 adult specialties and 2 procedures and conditions. Sending Medical Records to Another Facility. Contact Indiana University School of Medicine. save time and money with the national center for medical records. physician) at no cost to the patient. Phone: (888) 616-5721 (Option 6) Fax: (855) 668-0697; Records delivered by mail will be shipped within 5-7 Business days after processing. Medical Records Jordan Valley Medical Center maintains medical records for each patient treated at the hospital. MyBanner Patient Portal Access your health information anytime, anywhere. Phone Directory To schedule an appointment with a physician, call 304-285-2250. UCLA Health Health Information Management Services 10833 Le Conte Ave., CHS, BH-902 Los Angeles, CA 90095. If someone other than you is picking up your records, that person needs photo ID and an original signed authorization letter from the patient. Mailing Address. ; Records delivered by email will be received within 1-2 Business days after processing Attn: Medical Records 15855 Nineteen Mile Road Clinton Township, MI 48038 Telephone Number: (313) 916-4540 Hours of Operation: 8:00 a.m. – 4:30 p.m. (Monday – Friday) Henry Ford West Bloomfield Hospital Attn: Medical Records 6777 West Maple Road West Bloomfield, MI 48322 Telephone Number: (313) 916-4540 Mon Health Medical Center (MHMC) is committed to protecting the privacy of your medical information. The contact number for help with these requests is 1-702-220-7669. How can I obtain a copy of my radiology images? Patients can obtain copy of your medical records/images by completing an Authorization for the release of medical information form, and sending it to our dedicated team via scan or fax. To request a copy of your medical records or radiology images, please print, complete, and sign the authorization form below, giving us permission to release your records. Radiology Films/Reports: Phone: 954-265-5600. Fax Number Medical records at UChicago Medicine Ingalls Memorial are kept for ten years. Medical records can be sent to another facility with the patient's written consent. Contact Us: For immediate assistance, West Cancer Center & Research Institute: 901.683.0055 Margaret West Comprehensive Breast Center: 901.692.9600 For the following requests, please complete the form to your right. Medical Records Department. If records are needed for follow up care, please have your physician contact us directly for your records. To obtain a copy of your records, please fill out the form below; however, you must come in person to the Health … Northwest Medical Center - Springdale 609 W. Maple Ave. Springdale, AR 72764 Phone: (479) 757-4500 Fax: (479) 757-2930 MedicalRecordsRequest@nw-health.com Drop off your request at any Aurora Health Care Facility. Records will not be faxed. Locate Medical Records Medical Record Requests. Phone: (888) 616-5721 (Option 6) Fax: (855) 668-0697 Records delivered by mail will be shipped within 5-7 Business days after processing. Moving, changing jobs, or experiencing a major life event and need a quick and easy way to get medical records? ATTN: Medical Records Department 520 S. Maple Ave. Oak Park, IL 60304 Or Fax the completed form to: Medical Records Department at (708) 660-4026. How to request your deceased relative's records. IU Health West Hospital is a medical facility located in Avon, IN. Radiology Records. Select your MercyOne home location: Cedar Falls Centerville Obtaining Medical Records and Billing Records. Get your records efficiently and securely faster than ever. 336-716-3230. Phone: 281.274.7814 Fax: 281.274.8300 hmsl_requestrecords@ houstonmethodist.org. It is a general medical and surgical facility. Phone: 954-265-5947 Fax: 954-276-0600. Business Office Phone: (205) 481-7121: Finance Phone: (205) 481- 7737: Patient Financial Counselor Phone: (205) 481-7358 Request can be made to Abrazo West Campus Phone: (623) 882-1500 Hours: 8 a.m. to 4:30 p.m., Monday through Friday Abrazo Scottsdale Campus Phone: (602) 923-5000 Hours: 8 a.m. to 5 p.m., Monday through Friday Abrazo West Campus Phone: (623) 882-1500 Hours: 8 a.m. to 4:30 p.m., Monday through Friday The signature of the person whose medical records will be released (or their legal representative) If you have questions about how to request medical records, call (414) ... West Allis, WI 53227 PHONE: (414) 979-4590 FAX: (414) 385-8032. Records delivered by email will be received within 1-2 Business days after processing Prior to receiving copies of records or authorizing records to be disclosed, … Medical Records. If you have questions or concerns about your care, please call us, otherwise we will respond to this request. To request your medical records, please visit our Health Information Management department between the hours of 8:00 a.m. – 4:30 p.m., Monday through Friday, or call 801-562-4227. These … Patient Account Inquiries: Call (307) 996-4777. CDs may be mailed or picked up in person during business hours. Please be prepared to show a picture ID when picking up. Request Medical Records. University Campus 55 Lake Avenue North Worcester, MA 01605 United States Map & Directions. UChicago Medicine Ingalls Memorial When you come to pick up your medical records, please bring photo ID. 214 East 23rd Street Cheyenne, WY 82001 (307) 634-2273. 340 West 10th Street Fairbanks Hall, Suite 6200 Indianapolis, IN 46202-3082 317-274-8157 iusm@iu.edu To ask for your medical records from another provider: To request to have your medical records sent to a physician, please fill out this form and fax it to 561-488-8338. Hours of Operation Attn: Release of Information/ Medical Records 16655 Southwest Freeway, Suite 529 Sugar Land, TX 77479 . Northwest Medical Center - Bentonville 3000 Medical Center Parkway Bentonville, AR 72712 Phone: (479) 553-4000 Fax: (479) 271-7018 MedicalRecordsRequest@nw-health.com. In addition, your physician can also ask that your medical records be sent to their office by requesting your medical records on his/her office letterhead and faxing back to the Release of Information Department. You must submit a request to obtain your Imaging Studies. Phone: 312.996.3350 Hours: 8 am - 4 pm, Monday-Friday Address: 1740 W. Taylor, Admitting Department Suite 1100, Chicago, Illinois 60612. Medical Center. Requests for Medical Records. Court Order and subpoena requests for medical records must be delivered to the Health Information Management Department Customer Service Center located in the first floor lobby of Barnes-Jewish Hospital's north campus in the Center for Advanced Medicine (CAM) building, between the hours of 8-11:30 a.m. and 12:30-4 p.m., Monday through Friday. This helps to provide Southwest Medical with your complete medical history. Click the link above for more information on how to request a copy of your medical records from Westmed. To request a copy of your medical record, you may stop by the Medical Records office at Ingalls, Monday - Friday, 8:30 a.m. to 5:00 p.m. to fill out a request or complete the Ingalls Authorization for Release of Information and mail it to:. Medical records will be mailed or emailed. Genesis protects the confidentiality of your medical records, while providing you or your authorized representative access when you need them. Sign Up Find a doctor or make an appointment: 314.542.WEST (9378) OR TOLL-FREE 1.844.542.9378 Please note that there may be a charge for creating a copy of your records. Copies of medical records can be sent by medical records directly to another healthcare provider (i.e. Simply call H.I.S. After-hours phone numbers; Topic or department Phone number; Sexual Assault Crisis Service (24/7/365) 812-855-8900. Or request your imaging records here. Your Banner Health account allows you manage your care from any device so you can: view lab results, request medical records, book appointments, message a doctor’s … Hahnemann Campus 28 Lincoln Street Worcester, MA 01605 United States Medical Records . Appropriate fees may apply: Fee Schedule for copies of records. If you would like a copy of your medical records after you're discharged, please allow 24 to 48 hours for record completion. Get the latest in medical technology, research and disease prevention sent to your inbox from Barnes-Jewish West County Hospital and Barnes-Jewish Hospital. You can call (713) 778-2545. 336-716-5271 (FAX) Request for Records Form (PDF) Formulario Para Solicitor Registros. To request a copy of your medical records for health care, please contact your home location. COVID-19 This hospital has been recognized for Patient Safety Excellence Award™, Outstanding Patient … The Health Insurance Portability and Accountability Act of 1996 (HIPAA) gives you rights over your health information, including the right to get a copy of your information and make sure it is correct. Facility Contact Information Memorial Regional Hospital and Joe DiMaggio Children's Hospital. Your authorized representative access when you come to pick up your medical records can be to! Joe DiMaggio Children 's Hospital, or experiencing a major life event and need a quick and easy way get... 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