WebAuthorization to Release Protected Health Information (PHI) Maine law requires healthcare organizations to obtain written authorization from the patient in order to release certain medical records. WebFor general inquiries call 612-262-2300. You have the right to see information in your health record. Your health record includes your medical history, health insurance information and how to contact you. It is the duty of Allina Health to ensure that your record remains confidential and is maintained and released in accordance with applicable ...
Request Medical Records - Mercy Medical Center
WebFax: 608.756.6579. Address: Health Information Management–CiOX 1000 Mineral Point Ave, PO Box 5003 Janesville, WI 53547. If you have questions, call 608.756.6751. If you're a patient in Winnebago County, Ogle County or Boone County. Print, complete and return this Medical Record Release Form or Spanish Medical Record Release Form to: Fax: … WebMedical Records Request. Once the authorization is received, the records will be processed in the order received and SECURE emailed to the recipient named on the authorization. Please include a valid phone number in case we need to contact you. If you have any questions, please contact the HIM Department at 610.237.4884. north jersey kings hockey
Request Medical Records - Mercy Medical Center
WebFax: 636-933-5748. Health Information Management 100 Mercy Way Joplin, MO 64804 Phone: 417-556-2175 Fax: (417) 556-6576 Email: [email protected] Health Information … WebHospital form: Fax to: 515-633-3851, or mail: Attn: Medical Records, MercyOne Des Moines Medical Center, 1111 6th Avenue, Des Moines, IA 50314 Clinic form: Fax to: 515 … WebMercy Hospital 1000 N Village Ave Rockville Centre, NY 11570 516-705-2525 Get Directions Main Phone Numbers General Information: 516-705-2525 Admitting: 516-705-2982 Administration : 516-705-1401 Patient Accounts : 888-681-1753 Patient Information: 516-705-1411 Patient Relations : 516-705-1319 Security : 516-705-1030 north jersey marketplace