There is no charge for having your medical records sent directly to another healthcare facility/provider. 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. You may also pick them up in-person with a valid driver's license. 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. Looking for Medical Center Hospital in Odessa, TX? 167 Point Street Plano, TX 75093 Phone469.814.3225 Fax469.814.3212, AddressBaylor Scott & White Medical Center – Round Rock Health Information Management Department 300 University Blvd. Please call (217) 902-6500 for assistance obtaining your medical record information. Authorization for the Release of Confidential Health Information form, Gateway Healthcare Medical Records … Please enable scripts and reload this page. To obtain a copy of your child's birth certificate if the baby is under one year old, please contact the Office of Vital Records, 505 E. King Street #102, Carson City, Nevada 89701-4749. Fees. If you have any questions, please contact the appropriate hospital at the number listed below. Baylor Scott & White Medical Center – Carrollton and Sana are committed to working together for a seamless transition to minimize any impact to your care. 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. To help ease this transition, please review these forms. Lee Health has four adult acute care hospitals, one chidren's hospital, and two specialty hospitals. Authorization for Use of Protected Health Information form To request a copy of your medical records for yourself, healthcare provider, or third party complete a Medical Authorization Form, and provide a copy of your photo ID.. If you are a physician or hospital and your request is emergent please fax your request to (310) 206-4831. Please submit the form via email, fax to (313) 916-3917 email HFHSMedicalRecords@hfhs.org . Health Information Management Services Patient Records 401-793-2220 (English | Spanish), The Miriam Hospital Southfield, MI 48075. Search by condition, specialty, doctor name or location, Search for hospitals, clinics, imaging and pharmacies, Explore appointment, financial assistance, bill pay and other resources, Learn about your condition and our clinical departments, Find classes, events and programs near you, Browse a variety of health plans big and small, Baylor Scott & White All Saints Medical Center – Fort Worth, Baylor Scott & White Continuing Care Hospital, Baylor Scott & White Heart and Vascular Hospital, Baylor Scott & White Medical Center – Austin, Baylor Scott & White Medical Center – Brenham, Baylor Scott & White Medical Center – Buda, Baylor Scott & White Medical Center – Carrollton (Closed 3/1/2020), Baylor Scott & White Medical Center – Centennial, Baylor Scott & White Medical Center – College Station, Baylor Scott & White Medical Center – Garland (Closed 2/28/18), Baylor Scott & White Medical Center – Grapevine, Baylor Scott & White Medical Center – Hillcrest, Baylor Scott & White Medical Center – Irving, Baylor Scott & White Medical Center – Lake Pointe, Baylor Scott & White Medical Center – Lakeway, Baylor Scott & White Medical Center – Llano, Baylor Scott & White Medical Center – Marble Falls, Baylor Scott & White Medical Center – McKinney, Baylor Scott & White Medical Center – Pflugerville, Baylor Scott & White Medical Center – Plano, Baylor Scott & White Medical Center – Round Rock, Baylor Scott & White Medical Center – Taylor, Baylor Scott & White Medical Center – Temple, Baylor Scott & White Medical Center – Waxahachie, Baylor Scott & White The Heart Hospital – Denton, Baylor Scott & White The Heart Hospital – McKinney, Baylor Scott & White The Heart Hospital – Plano, Baylor University Medical Center, part of Baylor Scott & White Health. ... fax or deliver in person to Liberty Hospital address or fax number below. MyLifespan is your window into your electronic health record. Sharon Regional Medical Center Attn: Release of Information 740 East State Street Sharon, PA 16146. Redlands Community Hospital Medical Records Services is located on the basement floor of the main hospital, across from the public elevators. Highland Hospital Health Information Management Release of Information 1000 South Ave, Box 55 Rochester, NY 14620 Phone: (585) 341-6766 For many years, cranberry juice or cranberry supplements have been promoted to prevent or treat urinary tract infections.  Some consider this, Winter is arriving along with a spike in COVID-19 cases and hospitalizations nationwide, meaning much of this season will be spent indoor. © 2020 Baylor Scott & White Health. Our office is open Monday through Friday, 8 a.m. to 4:30 p.m. and can be reached at 617-355-7546.Please note our office is located at an off … Fax Number. 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. Deliver this form to: Hours: Monday – Friday, 8 a.m. – 5 p.m. Closed on holidays. 401-845-1150 Contact HealthMark Group for assistance in obtaining copies of your HTPN Clinic medical records. Eastman Dental Records: (585) 275-5071 - Call when you need a copy of your Eastman Dental records. 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. Round Rock, TX 78665 Phone512.509.9074 Fax512.509.9166, AddressBaylor Scott & White Medical Center – Taylor Health Information Management Department 305 Mallard Lane Taylor, Tx 76574 Phone737.888.3132 Fax737.888.3139, AddressBaylor Scott & White Medical Center – Temple Health Information Management Department 2401 S. 31st St. Temple, TX 76508 Phone254.724.4713 Fax844.332.7383, AddressBaylor Scott & White Medical Center – WaxahachieHealth Information Management Department – Medical Records 2400 N. I-35E Waxahachie, TX 75165 Phone469.843.4120 Fax469.843.4127, AddressBaylor Scott & White The Heart Hospital – DentonHealth Information Management Department 2801 S. Mayhill Road Denton, TX 76208 Phone469.814.4939 Fax469.814.4385, AddressBaylor Scott & White The Heart Hospital – PlanoHealth Information Management Department5268 W. University DriveMcKinney, TX 75071 Phone469.764.3485, AddressBaylor Scott & White The Heart Hospital – PlanoHealth Information Management Department 1100 Allied Drive Plano, TX 75093 Phone469.814.4360 Fax469.814.4361, AddressBaylor University Medical CenterHealth Information Management – Jonsson Basement 3500 Gaston Ave. Dallas, TX 75246 Phone214.820.2135 Fax214.818.6782. save time and money with the national center for medical records. 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. Phone: 816.792.7067 Fax: 816.792.7114. If you encounter any issues with your request, please call our Medical Records Department at (256) 265-8149. OR Fax form to: 724-983-3978 Attention: Release of Information. 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. 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. Authorization for Use or Disclosure of Health Information form, Lifespan Physician Group, Inc  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. Medical Records. Requests exceeding 10 pages are charged at a rate set by the Pennsylvania Department of Health. For Medical Records Not Available in MyChart Depending on when you received care, it is possible that all of your records are not available through MyChart. Medical Records. Telephone Number: (310) 825-6021 Business Hours: 8:00 am - 4:30 pm, Monday to Friday. Lifespan Corporate Offices protect your privacy or the privacy of your loved one, proper identification will be required to obtain medical records. In these situations, our Health Information Management team can assist you in other options to securely receive your medical records. For more information a​bou​​​t the release of information process, please contact the appropriate Baylor Scott & White facility listed here. Medical records will be processed remotely to ensure the safety of our patients, clients and staff. Receive care via video visit or eVisit using MyBSWHealth on a smartphone, computer or tablet. You may deliver your forms in person or by mail. How long does it take to … Stanford Health Care medical records. Written authorization is required for medical records and must be submitted directly to the hospital’s Health Information Management department. California Hospital Medical Center For services not listed, please call the main number at 213.748.2411. Authorization for Use of Protected Health Care Information form 1131 Option 1 Fax972.412.3360, AddressBaylor Scott & White Medical Center – Lakeway Health Information Management Department 100 Medical Parkway Lakeway, TX 78343 Phone512.654.5173 Fax512.654.5421, AddressBaylor Scott & White Medical Center – Llano Health Information Management Department 200 W. Olive St. Llano, TX 78643 Phone325.247.7871 Fax830.201.8657, AddressBaylor Scott & White Medical Center – Marble Falls Health Information Management Department 810 W. Highway 71 Marble Falls, TX 78654 Phone830.201.8651 Fax830.201.8657, AddressBaylor Scott & White Medical Center – McKinneyHealth Information Management Department 5252 W. University Drive McKinney, TX 75071 Phone469.764.2300 Fax469.764.2313, AddressBaylor Scott & White Medical Center – PflugervilleHealth Information Management Department2600 E Pflugerville Parkway, Suite 100Pflugerville, TX 78660 Phone512.654.6292 Fax512.654.6281, AddressBaylor Scott & White Medical Center – PlanoHealth Information Management Department 4700 Alliance Blvd. 401-444-4040 The charge will not exceed $40 for up to 100 pages. 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. 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 In order to. In many circumstances an original authorization is required. Request a copy of your medical record Information from all of your Lifespan health care providers is available in that record. Should you require a copy of medical records for yourself or on behalf of an adult family member, please use the guidelines below. 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. Call 248-849-5580. Contact Info. The Health Information Management ROI office is closed to the public due to COVID-19. 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. Completed forms may be mailed or faxed to the facility's health information management department. FAQs & Other Important Information. Lifespan, Rhode Island’s first health system, is a comprehensive, integrated, academic health system affiliated with The Warren Alpert Medical School of Brown University. 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 The Medical Records Department will contact you by phone or mail when your records are ready and payment is due. Medical records on CD are available for a flat rate of $6.50. According to Florida Statute 395.3025, the hospital may charge {Section}.25 per page, plus postage if the records are mailed. 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. 401-432-1340 Submit form by: Mail: MLHC - Medical Records, PO Box 40628 Memphis, TN 38174. Admitting / Inpatient and ER 702-963-7595 702-963-7503 (after hours) Billing Office 866-823-4250 Financial Counselor 702-963-7504 Health Information Services / Medical Records 702-963-7540 Human Resources 702-963-7550 Physician Referral Service 702-388-4888 Quality Management / Patient Safety 702-963-7607 Radiology 702-963-7120 Security 702-963-7920 Senior Advantage 702-853-3008 … Medical Records Service Fees. 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. Birth Certificate Request You also may call (775) 684-4242 or visit www.vitalchek.com. The signed form can either be hand delivered or mailed to the address below or sent via fax to the fax number below: Rush Copley Medical Center Medical Records Department (lower level of hospital) 2000 Ogden Ave., Aurora, IL 60504 Medical Records: (574) 753-1390; Occupational Medicine: (574) 753-1548; Pharmacy: (574) 732-0418; Workforce Health: (574) 725-2012; Staff phone numbers. Our regional medical center doesn’t have a public directory of hospital staff phone numbers. To request copies of your medical records, please download, complete and sign the Authorization for Release of Information form for your Baylor Scott & White Health facility. Medical Records Davis Hospital and Medical Center maintains medical records for each patient treated at the hospital. You can request a copy of your medical records for your personal records or for a copy to be sent to another medical facility. Authorization to Use or Disclose Protected Health Information form. 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 Any billing questions you may have should be directed to 833.406.0173. 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. You can request copies of your medical records by visiting our Health Information Management office on the main level of the hospital. 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. Office hours at all locations are 8:30 a.m. to 5 p.m., Monday-Friday. COVID19 test results can be accessed via your MyCarle account, by mail, or by emailing HIMCorrespondence@carle.com . 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. 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