Davie Medical Center Attn: Medical Records/Health Information Management Dept.- Release of Information 329 Highway 801 S. Bermuda Run, NC 27006 Mon - Fri: 8 am - 5 pm. West Branch, MI 48661. Records for your medical office will vary. In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. Access to hard copies of medical records. 385-215-7046 IMHROISTATRequests@R1RCM.com. Phone: (866) 463-7272 Fax: (855) 446-6008 Mail. Utah Valley Regional Medical Center - Medical Records phone number is (801) 357-7112 and you can reach us on number (801) 357-7112. 10:30am-5:30pm Fri. 9am-12pm You have the right to view and/or request copies of your medical record. Dixie Regional Medical Center Medical Records Department. The hospital provides free parking for patients and visitors. The medical center has become a cornerstone of medical services in Ogemaw County and the surrounding areas. Mailing address: 100 15th Street N.W. Medical Records Forms. Hours of operation: Monday through Friday, 8 a.m. to 4:30 p.m. Dickenson Community Hospital. Complete, sign and date the form. Regional Medical Center in Manchester Iowa Regional Medical Center has provided excellence in healthcare, in Manchester Iowa and the surrounding area, in our hospitals and clinics, since 1950. Medical record number; Access to the medical record number is available at Cody Regional Health Health Information Management. If you would like a copy of your medical records after you're discharged, please allow 24 to 48 hours for record completion. Important Information About Requesting Medical Records. To request to have your medical records sent to a physician, please fill out this form and fax it to 561-488-8338. Business Hours: Monday through Friday, 8:00 am - 4:30 pm: YRMC East – Health Information Management. Health Information Management (HIM) is dedicated to ensuring the privacy of protected health information while providing quality information to those we serve. Medical records will be … Paper Copy of Medical Records: Please complete the following steps to obtain a paper copy of your medical records: Print and complete the Medical Records Release Form. YRMC West – Health Information Management… West Branch Regional Medical Center. Health Information Management (HIM) – also called Medical Records – manages patient health records for Yavapai Regional Medical Center (YRMC). If you need a copy of your record for personal use, there is a nominal charge. Please complete the following steps to obtain a paper copy of your medical records: Print and complete the Medical Records Release Form. Medical records will be sent within 30 business days to address provided if form is completed in its entirety. Medical Records Patient Resources. Complete, sign and date the form. Telephone numbers for patients needing information about obtaining copies of records: Phone: (423) 844-1121 Toll free: 1-877-230-6877 Fax: (423) 844-3506. About Utah Valley Regional Medical Center - Medical Records. Bristol, TN 37620 . Any information contained in the medical record is confidential and protected by federal and state law. Our convenient location just off I-75 and our commitment to quality healthcare are just a couple of the reasons why so many people choose West Branch Regional Medical Center for their healthcare needs. Mail. Fillmore Community Hospital Medical Records Department. Medical Records Fax: 304-831-1108. WRMC satisfies requests for medical records for all inpatient, outpatient and clinical services If this is a medical … Facility Guide Location Guide Directions. Request Medical Records. Contact Us (321) 841-4449. Our location. Your records are maintained by our hospital’s Medical Records Department with utmost care. You will need to sign up or login to your account, click ‘Health’, click ‘Document and Record Center’, click ‘Your Medical Records’, fill out your release electronically, and the records will be released to your MyChart account soon thereafter. Records dated February 25, 2018 and forward are available via MyChart for the following hospitals: Atlanta Medical Center Main/South, North Fulton, Spalding, Sylvan Grove and West Georgia. Garfield Memorial Hospital Medical Records … is an Uncategorized at 4021 Avenue B, Scottsbluff, NE 69361. This electronic form is for non-medical communication only. Mailing address: 1 Medical Park Blvd. Health Information Disclosure Form | Spanish; California Advance Health Care Directive | Spanish; For more information, contact: Medical Records 1-844-240-6459 925-370-5275 fax. Overview . 674 South Highway 99, Fillmore, UT 84631 (435) 743-1511. It is the obligation of MidHudson Regional Hospital to protect the confidentiality of the patient's medical record. 1380 East Medical Center Drive, St. George, UT 84790 (435) 251-2304. To view your medical record, you must make an appointment with the Health Information Management (HIM) Department. HIM Shared Services – Centralized Release of Information 6451 126 th Ave N Largo, FL 33773. Utah Valley Regional Medical Center - Medical Records is business in PROVO, 84604 United States. Westchester Medical Center Attn: Health Information Management 100 Woods Road Valhalla, NY 10595. Health Information Management/Medical Records French Hospital Medical Center Pacific Medical Plaza Building 1941 Johnson Avenue, Suite 203 San Luis Obispo, CA 93401 Office: 805.542.6526 Fax: 805.542.6320 Health Information Management/Medical Records Marian Regional Medical Center 1400 East Church Street Santa Maria, CA 93454 Office: 805.739.3300 Request Records . Please note: the HIM Dept/Medical Records has moved to the Osage Campus located at 1625 Dorwart Dr – Sidney, NE 69162. Medical Records Request . If you do not have access to a printer, you may stop by the above address and fill out a release form there, or call (989) 343-3184 to request a copy of the release form to be mailed or faxed to you. Glenwood offers comprehensive healthcare services, including emergency care, heart care, advanced surgical procedures, diagnostic imaging, maternity care, rehabilitation services, and help for a broad range of medical conditions. Logan Regional Medical Center 20 Hospital Drive Logan, WV 25601 Telephone: 304-831-1101 Fax: 304-831-1871. These records are kept in strict confidence and are not released without the written consent of the patient, except as required by law. WV E-Registry Fax number: 1-304-293-7442 or copies of advance directives can be mailed to the registry at WV Center for End of Life Care P.O. Health Information Management (Medical Records) Dignity Health, Yavapai Regional Medical Center West 1003 Willow Creek Road Prescott, Arizona 86301. If you have a question regarding your medical care or medical history please call our Main Office and a staff member will connect you with the correct department. The PCH Bluefield Emergency Department will administer treatment to all patients, regardless of their ability to pay. Medical Records. We offer the following options to allow patients to obtain medical records and/or radiology studies from Rancho Springs Medical Center or Inland Valley Medical Center: Online. Frequently Asked Questions How do I get a copy of my medical records? Please allow 2-3 business days for a response. In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. Paper Copy of Medical Records: Please complete the following steps to obtain a paper copy of your medical records: Print and complete the Medical Records Release Form. If you need more information about the service, visit www.wvendoflife.org. Records dated April 1, 2014 and forward are available via MyChart for the following hospitals: Cobb, Douglas, Kennestone, Paulding, and Windy Hill. Authorization for Psychotherapy Notes Release. Authorization for Release - Spanish. Once your request is received by Health Information Management, it will be mailed to you unless arrangements are made to pick up your copy. Box 9022 Morgantown, WV 26506 385-215-7046 IMHROISTATRequests@R1RCM.com . Mail. Consider Using HealtheLife. 2463 S. M-30. Foothill Regional Medical Center 14662 Newport Avenue Tustin, CA 92780 (714) 619-7700 | Email Us | Media Queries. Patients of Regional Medical Center/Regional Family Health may also access medical record information quickly and electronically with a HealtheLife account. Health Information Management is open … The Health Information Management Department at MidHudson Regional Hospital maintains documentation of each patient’s medical care. AHMC Anaheim Regional Medical Center ATTN: Health Information Management 1111 W. La Palma Ave. Anaheim, CA 92801 If you are unable to print the above forms, please call the Health Information Management Office at 714.999.6165. Wellness.com provides reviews, contact information, driving directions and the phone number for Regional West Medical Center - Medical Records in Scottsbluff, NE. You should give them a call at 8013577112 before you go. Phone: (928) 442-8657 Fax: (928) 442-8658 . We will be happy to copy your record for any physician who is to provide continued medical … Directions . For the quickest response time, submit your medical record request through our online medical correspondence system. Therefore, patient information may only … Wellington Regional Medical Center (WRMC) retains records of the medical care you receive here in the Health Information Management Department. Phone: 914.493.7600 Authorization for Release - English. Our HIM team is committed to protecting and maintaining health records to support the delivery of patient care. 8:30am-2:30pm Tues. 10:30am-4:30pm Wed. 1pm-5:30pm Thurs. - Release of Information 601 North Elm Street PO Box HP-5 High Point, NC 27261 . Phone: (866) 463-7272 Fax: (855) 446-6008 Enter the reason you’re requesting medical records on Line “F” Sign and date the form on Line "G" If you are not the patient, complete Line "H" Return the completed form to: Riverside Medical Center Health Information Management Department ATTN: Release of Information Area 350 N. Wall Street Kankakee, IL 60901 Or Fax form to (815) 935-7862 HIM Shared Services – Centralized Release of Information 6451 126 th Ave N Largo, FL 33773. Complete, sign and date the form. Getting to Foothill Regional Medical Center by car is easy as the hospital is centrally located between the 5 and 55 freeways at 14662 Newport Ave. in Tustin. Mon. Mon - Fri: 8:30 am - 5 … You can also use MyChart, our unified patient portal, which gives you secure online access to your health care records. Fairmont Regional Medical Center is a registered user of the E-Registry. Bristol Regional Medical Center. There may be a minimal fee for a request for records in order to cover copying costs. HIM maintains the legal medical record for all Orlando Health patients. Patients must sign paperwork in order to receive their medical record number per HIPAA regulations. 336-998-2101 336-998-2159 (fax) High Point Medical Center Attn: Medical Records/Health Information Management Dept. Join our email list and keep up-to-date on what is happening at Regional Medical Center. Medical Records. Glenwood Regional Medical Center is a 278-bed, state-of-the-art hospital located in West Monroe, Louisiana. PCH Bluefield Emergency Department is a part of Princeton Community Hospital in Princeton, West Virginia and will strive to serve the emergency needs of the Bluefield, West Virginia community with the permanent closure of Bluefield Regional Medical Center.