![]() Please allow up to 15 business days for the information to be assembled after the request is received.Ī current fee schedule for release of health care information is available online. Request Medical Records Your Hospital Stay Phone Directory Your Safety Your Rights & Responsibilities Advance Directives Pastoral Care Services. Submitting An Authorizationįor UTHSA patients requesting records, please fax your request to (210) 450-6058 or mail it to the “HIM – Release of Information” address listed below.įor healthcare facilities, health plans, or other requesters requesting records: Or you may contact HIM at (210) 450-9760 and HIM will email the authorization form to you. If you do not have the software to view and print this type of document, you can download the plug-in for free from the Adobe Web Site. These documents are designed to be printed and are offered in Adobe Portable Document Format (PDF). To download the authorization form, click: English or Spanish.To electronically submit an authorization form, log in to the M圜hart patient portal: M圜hart.Records may also be requested by visiting the Health Information Department (HIM) to fill out an authorization form, electronically submitting an authorization form online, or mailing/faxing an authorization form to the HIM office. CHRISTUS Spohn Hospital Corpus Christi - Memorial, Hospital Boulevard, Corpus Christi. UTHSA provides access for patients to significant portions of their health record-including test and lab results, immunization history, after visit summaries and notes, provider messaging and more-through a patient web portal called M圜hart.įor health records not available in M圜hart: Authorization for Release of Health Records Center For Health Care Services, San Antonio, TX, United States. Where thousands of physicians work tirelessly to develop. Health records are protected health information that cannot be released to any person or organization without the consent of the patient or the patient’s legally authorized representative (unless authorized or required by law). The Medical Center is a place where hundreds of thousands of individuals come each year to heal. Our team is responsible for maintaining the confidentiality of all patient records and to assist you with your health record requests. Ultimate Health Sleep Disorders Center - Ultimate Health Outcomes, Inc.UT Health San Antonio's (UTHSA) Health Information Management Department is committed to respecting and protecting the rights of our patients and their families. ![]() ![]() Sound Shore Medical Center, New Rochelle, NY Saint Vincent Catholic Medical Center, New York, NY (Electronic Records Only) Saint John’s Queens Hospital, Elmhurst, NY New York Caritas Healthcare, Elmhurst and Jamacia, NYĬenter for Specialty Care, Inc., New York, NYįederation Employment and Guidance Service - ENGLISH ("FEGS"), NY, NY - Client Recordsįederation Employment and Guidance Service - RUSSIAN ("FEGS"), NY, NY - Client Recordsįederation Employment and Guidance Service - SPANISH ("FEGS"), NY, NY - Client Records Oklahoma Pauls Valley General Hospital, Pauls Valley, OK Ohio Deaconess Health Association, Cincinnati, OH Verifying this information ensures that our medical and financial records are accurate. ![]() Missouri Pinnacle Healthcare System, Inc. It’s as easy as a phone call, a fax or a visit to our Medical Records Department. ![]() Kansas Blue Valley Hospital, Overland Park, KS How to Get Your Medical 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. Kentuckiana Medical Center, LLC, Clarksville, IN Indiana Fayette Memorial Hospital Association, Inc., Connersville, IN Healthcare Organizations by State California San Diego Hospice, San Diego, CA Failure to provide complete information, sign the form, or provide the required identification may result in delay or denial of your records request. The Hospital offers emergency care, womens health, cardiology, orthopedic. Please follow all instructions when completing the Release of Information Authorization Form(s). San Antonio Community Hospital (D/B/A San Antonio Regional Hospital) provides medical and surgical hospital services. To request MEDICAL RECORDS from current MetalQuest Trusteeships, please click on the appropriate organization link listed below to obtain the applicable Release of Information Authorization Form ![]()
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