WebAccessing Your Health Information Protecting your privacy – Our commitment to you Hamilton Health Sciences (HHS) is committed to protecting the privacy of its patients, and to the respectful care of the personal health information (PHI) in our custody and control. PHI includes any information that pertains to your health and identifies who you are. Web401-793-2220 Authorization for Use of Protected Health Information form ( English I Spanish) Bradley Hospital 401-432-1340 Authorization for Use or Disclosure of Health Information form Newport Hospital 401-845-1150 Authorization for the Release of Confidential Health Information form Gateway Healthcare 401-667-6557
Request Medical Records Children
WebIf the records you are looking for are not in MyChart, or you are not eligible for a MyChart account, you must submit a written request to Health Information Management. Records … WebMyChart and Medical Records; Honoring patient legacies at Texas Children’s; Grief Mentor Program; Grief Resources; Helpful phone numbers; Dental; Dermatology; Desmond … night foot splints
Authorization to Release Information Children
WebFACILITY/HEALTHCARE PROVIDER YOU WOULD LIKE YOUR RECORDS RELEASED FROM I hereby authorize: Lucile Packard Children’s Hospital Stanford Stanford Children’s Health 725 Welch Road, Palo Alto, CA 94025 (Other Healthcare Provider) SECTION A: PATIENT INFORMATION Please print the name of the patient whose … WebOnce you have completed your request send it back to us for processing. Requests can be sent in the following ways: Via fax to 908-301-5527 Attn: HIMS Department. Via email … WebPlace the completed authorization form in an envelope and mail - or fax- to the Medical Records department at Children’s Hospital of Michigan. Children’s Hospital of … nightforce 30mm scope rings