Southfield, MI 48075. We are happy to provide you with 10 copied pages of your medical record free of charge. © 2020 Baylor Scott & White Health. For more information a​bou​​​t the release of information process, please contact the appropriate Baylor Scott & White facility listed here. Please submit the form via email, fax to (313) 916-3917 email HFHSMedicalRecords@hfhs.org . Call 248-849-5580. There is no cost for sending your medical records to another health care provider. Health Information Management Services Patient Records FAQs & Other Important Information. 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. Law enforcement requests: Under certain circumstances, law enforcement officials may obtain a patient's protected health care 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. Providers should fax the medical request form to 301-618-2997. 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. More about COVID-19   |   COVID-19 información en español. 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 Phone: 816.792.7067 Fax: 816.792.7114. You may be trying to access this site from a secured browser on the server. We are able to accept and honor fax requests from a medical provider on behalf of any patient as part of our commitment to continuity of care. Medical Records Davis Hospital and Medical Center maintains medical records for each patient treated at the hospital. 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. Imaging Pick Up 248-471-8374 There is no charge for having your medical records sent directly to another healthcare facility/provider. You can request copies of your medical records by visiting our Health Information Management office on the main level of the hospital. Please call (217) 902-6500 for assistance obtaining your medical record information. Medical Records. Looking for Medical Center Hospital in Odessa, TX? Questions? protect your privacy or the privacy of your loved one, proper identification will be required to obtain medical records. Health Information Management (Medical Records) Department 28050 Grand River Avenue Farmington Hills, MI 48336 Phone: 248-471-8185 Fax: 248-471-8508 Office Hours: Monday – Friday 8 a.m. – 4 p.m. 16001 West Nine Mile Rd. 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 … If you need copies or access to medical records, you must call the appropriate hospital's medical records department directly. Get your records efficiently and securely faster than ever. Call 801-807-7540 for more information. 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 Services is open Monday - Friday, 8:00 am - 4:00 pm. OR Fax form to: 724-983-3978 Attention: Release of Information. 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. The Medical Records Department will contact you by phone or mail when your records are ready and payment is due. The charge will not exceed $40 for up to 100 pages. Information from all of your Lifespan health care providers is available in that record. We cannot fax or e-mail medical records without written consent from the patient (this must be done in-person at the time of your visit and varies by department). Medical Records. Deliver this form to: Hours: Monday – Friday, 8 a.m. – 5 p.m. Closed on holidays. 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 Medical records on CD are available for a flat rate of $6.50. 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. 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. If you are requesting records be sent to you, you will receive a bill Mail the completed authorization form to: Ascension Providence Hospital, Southfield Campus Health Information Management Dept. Any billing questions you may have should be directed to 833.406.0173. 401-793-2220 The Health Information Management ROI office is closed to the public due to COVID-19. Please enable scripts and reload this page. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. 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. 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.. 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 … 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. 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