You can request a copy of your medical records for your personal records or for a copy to be sent to another medical facility. Any billing questions you may have should be directed to 833.406.0173. COVID19 test results can be accessed via your MyCarle account, by mail, or by emailing [email protected] . Telephone Number: (310) 825-6021 Business Hours: 8:00 am - 4:30 pm, Monday to Friday. protect your privacy or the privacy of your loved one, proper identification will be required to obtain medical records. (English | Spanish), The Miriam Hospital Medical Records How to Obtain Medical Records. Irving, TX 75061 Phone972.579.4323 Fax972.579.4416, AddressBaylor Scott & White Medical Center – Lake PointeHealth Information Management Department 6800 Scenic Drive Rowlett, Texas 75088 Phone972.412.3380 ex. For more information a​bou​​​t the release of information process, please contact the appropriate Baylor Scott & White facility listed here. Authorization to Use or Disclose Protected Health Information form. Please call (217) 902-6500 for assistance obtaining your medical record information. Waco, TX 76712 Phone254.202.4500 Fax844.246.5391, AddressBaylor Scott & White Medical Center – IrvingHealth Information Management Department – Release of Information 1901 N. MacArthur Blvd. How do I obtain copies of my medical records for those other than myself? 401-444-4040 Eastman Dental Records: (585) 275-5071 - Call when you need a copy of your Eastman Dental records. Law enforcement requests: Under certain circumstances, law enforcement officials may obtain a patient's protected health care information. We cannot fax or e-mail medical records without written consent from the patient (this must be done in-person at the time of your visit and varies by department). You may be trying to access this site from a secured browser on the server. Call 801-807-7540 for more information. Sharon Regional Medical Center Attn: Release of Information 740 East State Street Sharon, PA 16146. MyLifespan is your window into your electronic health record. All Rights Reserved. Whether you have visited one of our outpatient clinics, labs, ambulatory centers or hospitals, a single integrated record charts the care you received and your health condition. 167 Point Street FAQs & Other Important Information. AddressBaylor Scott & White All Saints Medical Center – Fort WorthHealth Information Management Department – Release of Information 1400 Eighth Ave. Fort Worth, TX 76104 Phone817.927.6125 Fax817.922.7052, Contact Release of Information for assistance in obtaining copies of your medical records. Lee Health has four adult acute care hospitals, one chidren's hospital, and two specialty hospitals. 401-667-6557 Completed forms may be mailed or faxed to the facility's health information management department. Southfield, MI 48075. Health Information Management Services Patient Records Photocopies of your medical records are available upon request from the Medical Records department at the hospital where you were a patient. © 2020 Baylor Scott & White Health. If you encounter any issues with your request, please call our Medical Records Department at (256) 265-8149. If your records are needed for treatment or for an appointment within the next 48-72 hours, your physician can request records by fax (256) 265-8131 when you arrive in his/her office for treatment. Call 248-849-5580. Please submit the form via email, fax to (313) 916-3917 email [email protected] . Authorization for Use or Disclosure of Health Information form, Lifespan Physician Group, Inc  Yes, there is a charge to copy records for your own personal use. We want to make you aware that we have entered into an agreement with Sana Healthcare to transition our operations of Baylor Scott & White Medical Center – Carrollton on March 1, 2020. 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. Patient-related information may also be released to a physician or medical facility for follow-up care of the patient when needed, free of charge. Medical Records Policy To request your medical records, please visit our Health Information Management department on the first floor of the hospital between the hours of 9:00 a.m. – 5:00 p.m., Monday through Friday. The Medical Records Department keeps patient information for both inpatients and outpatients at Boston Children's Hospital. Requests exceeding 10 pages are charged at a rate set by the Pennsylvania Department of Health. Medical records on CD are available for a flat rate of $6.50. Medical Records. However, there are minimal fees (per page) for obtaining medical records for other purposes. You may deliver your forms in person or by mail. You may mail the request to the centralized release of information department: Duke University Hospital Health Information Management Release of Information PO Box 3016 Durham, NC 27710 919-684-1700 AddressBaylor Scott & White Medical Center – College Station Health Information Management Department 700 Scott & White Drive College Station, TX 77845 Fax979.207.2171 Phone979.207.2163, AddressBaylor Scott & White Medical Center – GrapevineHealth Information Management Department – Release of Information 1650 W. College St. Grapevine, TX 76051 Phone817.329.2543 Fax817.329.2883, AddressBaylor Scott & White Medical Center – HillcrestHealth Information Management Department 100 Hillcrest Medical Blvd. To help ease this transition, please review these forms. Please enable scripts and reload this page. Learn more  Â», Join us: See available positions and apply online, Back to School Concerns in the Age of Coronavirus, Cranberry Juice and Urinary Tract Infections, You Can Help Us Respond to the Challenges of COVID-19, Benefits of a Single, Unified Academic Health Care System for Rhode Island, Insurance, Billing and Financial Assistance, More about law enforcement-related information requests Â», Authorization for Use or Disclosure of Health Information form, Authorization for the Release of Confidential Health Information form, Authorization to Use or Disclose Protected Health Information form. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. Providers should fax the medical request form to 301-618-2997. We are able to accept and honor fax requests from a medical provider on behalf of any patient as part of our commitment to continuity of care. 401-444-3500, Barbara Austin, LICSW and Jennifer Jencks, PhD, Lifespan Begins Offering COVID-19 Vaccine to its Frontline Health Care Workers, Lifespan Receives First Shipment of COVID-19 Vaccine from Pfizer, Lifespan Cancer Institute Extends Radiotherapy to East Greenwich, Brain Aneurysm, AVM and Stroke Support Group, Information for patients who have a scheduled test, appointment, surgery or telehealth visit, All visitation at Lifespan hospitals is temporarily suspended. Information from all of your Lifespan health care providers is available in that record. OR Bring form to: Sharon Regional Medical Center Health Information Management (Medical Records) 740 East State Street Sharon, PA 16146 Hours: Monday-Friday, 8:00 a.m. - 4:30 p.m. Phone: 816.792.7067 Fax: 816.792.7114. OR Fax form to: 724-983-3978 Attention: Release of Information. MyLifespan can be accessed on any computer or smart phone. Deliver this form to: Hours: Monday – Friday, 8 a.m. – 5 p.m. Closed on holidays. Medical Records Phone Numbers: Rhode Island Hospital and its Hasbro Children's Hospital 401-444-4040 Authorization for Use of Protected Health Care Information form (English | Spanish) The Miriam Hospital 401-793-2220 Authorization for Use of Protected Health Information form (English I Spanish) Bradley Hospital 401-432-1340 Please fax authorizations to: (310) 983-1468. If you have any questions, please contact the appropriate hospital at the number listed below. How long does it take to … (English I Spanish), Bradley Hospital  Lifespan Corporate Offices Medical Records Services is open Monday - Friday, 8:00 am - 4:00 pm. Providence, RI 02903 Medical Records: (574) 753-1390; Occupational Medicine: (574) 753-1548; Pharmacy: (574) 732-0418; Workforce Health: (574) 725-2012; Staff phone numbers. 401-845-1150 Requesting your Medical Records UPMC Content 2 At UPMC Magee-Womens Hospital , we are committed to protecting the privacy of your medical information — health, treatment, or payment information that identifies you — as federal and state laws require. Contact Info. In these situations, our Health Information Management team can assist you in other options to securely receive your medical records. Contact HealthMark Group for assistance in obtaining copies of your HTPN Clinic medical records. You may also pick them up in-person with a valid driver's license. Birth Certificate Request Medical Records Fax Number: 617-313-1355 MySite Patient Portal Support Phone Number: 617-313-1278 Medical Records Mailing Address: 199 Reedsdale Road, Milton, MA 02186, Attn: Medical Records Highland Hospital Health Information Management Release of Information 1000 South Ave, Box 55 Rochester, NY 14620 Phone: (585) 341-6766 Questions? Fees. AddressBaylor Scott & White Medical Center – Centennial12505 Lebanon Road Frisco, TX 75035 Phone469.764.8000 Hours of Operation Monday through Friday 8:30 a.m. to 4:30 p.m. For more information, please call 469.764.9118. In many circumstances an original authorization is required. Minors (patients under 18 of age): The parent or legal representative must complete, sign and date the Authorization Form for Release of Medical Records and Information, unless the minor is emancipated.A legal guardian may be asked to provide proof of guardianship. Office hours at all locations are 8:30 a.m. to 5 p.m., Monday-Friday. Fax Number. A copy of your medical records may be obtained by downloading and printing the form below and bringing it to your doctor's office, Butler Hospital's medical records office in the basement level of the Center House Building or by mail. Get your records efficiently and securely faster than ever. There is a fee to copy medical records unless records are being requested for continuity of care. Authorization for the Release of Confidential Health Information form, Gateway Healthcare 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. In order to. More about COVID-19   |   COVID-19 información en español. Our regional medical center doesn’t have a public directory of hospital staff phone numbers. Phone: 254.724.4713 Toll free: 800.725.2768 Fax: 844.332.7383, AddressBaylor Scott & White Heart and Vascular HospitalHealth Information Management Department 621 Hall St. Dallas, TX 75226 Phone214.820.0655 Fax214.820.0649, AddressBaylor Scott & White Medical Center – Austin5245 W US Highway 290 Austin, TX 78735 Phone512.654.2203 Fax512.654.2101, AddressBaylor Scott & White Medical Center – Brenham Health Information Management Department 700 Medical Parkway Brenham, TX 77833 Fax979.337.5129 Phone979.337.5130, AddressBaylor Scott & White Medical Center – BudaHealth Information Management Department5330 Overpass DriveBuda, TX 78610 Phone737.999.6204 Fax737.999.6201. 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