How do I get a copy of my medical records? War Memorial HospitalMedical Records Department500 Osborn BoulevardSault Ste. Additional information can be obtained by calling the Release of Information Specialist at (773) 564-5845. If you are unable to visit our office, please mail, email, or fax your completed form to: Health Information Management Systems. You may send your request in the following ways: Fax: (844) 481-0298. Franklin said officers first got a 911 call at 4:52 p.m. from a patient who was having a video visit with their doctor, who told them to contact police about a Nashville, TN 37229-0789. Fax. Fax the medical records and/or appropriate request forms to Memorial Medical Records Department at (337) 494-3148. Postal Mail Lake Charles Memorial Hospital Medical Records Department 1701 Oak Park Blvd. Lake Charles, LA 70601 Release of Information Email: RecordRequest@iredellhealth.org. Looking for Margaret R Pardee Memorial Hospital in Hendersonville, NC? Copies of birth, death, or other certificates can be obtained from the Miami-Dade County Office of Vital Records website or by calling 1-866-830-1906. 420 34th Street. Please note: View and Pay Physician Bill Here. The Memorial Hermann Release of Information Department is dedicated to processing your requests for protected health information in a timely manner. Records delivered by email will be received within 1-2 Business days after processing. Medical Records/Patient Forms. There will be a charge for copies of medical records requested for personal use. For your convenience, we have posted here some of the forms that you can print out and fill in for submission to our Registration Desk when you arrive for admission. Nashville, TN 37229-0789. Slidell Memorial Hospital 1001 Gause Blvd. Medical Records. 336-503-5774. Feel free to call Medical Records at 805/948-5047 with any questions, and we will be happy to assist you. A small copying fee may apply. Records for medical emergencies will be faxed directly to a physician or medical facility. Medical Record Forms. At Sturdy Memorial Hospital, its important that our patients have access to their medical records and information, both easily and securely. Please complete the appropriate Authorization to Release or Obtain Health Information Form for the entity that provided care. There is no charge for a patient whose records are copied if it is necessary for the continuation of medical health care service. Demographics maintained by hospital (sex, race, ethnicity, date of birth, preferred language) Family & social history; Person Memorial Hospital has partnered with Syntellis to provide this service. Medical Records. Mail: PO Box 290789. Records delivered by mail will be shipped within 5-7 Business days after processing. Jefferson, NC 28640. You may send your request by fax to (423) 495-4740. Contact information is included on the form. Fairbanks, Alaska 99701. Billing and Collection Policy ( English) ( Spanish) Plymouth, NH 03264. If you have questions, please don't hesitate to contact us at (603) 238-2235. You may submit the request in person from 8:00am to 4:30pm or by mail to: If you are hospitalized, you may submit the form 202-442-9303 or 202-442-5865. After your request is received, we will send you an invoice for the cost of the records you requested, if applicable. Fax Line: 336-846-0746. 325 Maine. please contact Pecos County Memorial Hospital's Medical Records Department at 432-336-2004 extension 4897. Intensive Care Unit patient rooms do not have telephones. Records Request Service. The physician office must fax a written request on their letterhead to (855) 668-0697 indicating the patient's name, date of birth, date of visit and the name of the facility where you were treated. Mail: PO Box 290789. By Process Server: Subpoenas that are hand delivered via process server for medical records, depositions, trials and standby of SMH personnel must be hand-delivered to Sarasota Memorials agent at the Legal Services Office, located on the Sarasota Memorial Hospital-Sarasota Campus (1700 S. Tamiami Tr., Sarasota, FL 34239) between the hours of 8 am - 12 pm, Monday For location of your medical records enter the following information: Clinic or Hospital Name: Salem Health. We offer tools and assistance to do just that, including: Patient Portal - Provides a secure and convenient way to keep your health records online and in one place. 1001 Bellefontaine Ave. Lima, OH 45804. Lawrence Memorial Hospital. You may appear in person at the Health Information Management department inside any of the Memorial Health affiliate hospitals to pick up your records. Please log in to the MyTorranceMemorial patient portal, text, or call us at 310-517-4721 to book your next visit. Get a ride. Volunteers. Or, records can be mailed directly to your home. Marie, MI 49783FAX: (906) 635-4422. $8-10. The Pecos County Memorial Hospital Patient Portal is an online health electronic document management tool that includes a view of clinical data from your Electronic Medical Record (EMR). War Memorial HospitalMedical Records Department500 Osborn BoulevardSault Ste. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. Patient Portal. For questions regarding medical records, or to obtain the status of your request call us at (844) 481-0278. By Fax (228) 865-3557. For immediate continuity of care, your healthcare provider can request records. Nashville, TN 37229-0789. Email requests. Your medical records are a permanent document of the history and progress of your medical care. The record is a compilation of observations and findings recorded by your physician and members of the hospital health care staff. Online healthcare information is available to patients 18 years and older and who have been a patient at the hospital on or after January 1, 2014. 200 Hospital Avenue. Patient Walk-In Request Hours: 8:00 a.m. 4:00 p.m. Monday Friday. Lyft in 4min. Non-Discrimination Information - Provides free aids and services to people with disabilities, and You may send your request by fax to (423) 495-4740. If you have questions about or would like to receive a copy of your medical records, please call our Release of Information line. Choose Request Type, i.e. DECEASED PATIENT REPRESENTATIVE: Representatives valid photo ID You can fax, email or mail the request. For immediate continuity of care, your healthcare provider can request records. Mail: ProMedica Health Information Management 5855 Monroe St. Second floor Suite 202 Sylvania, OH 43560. Email: phs.him.roi@promedica.org. Lawrence, KS 66044. Information available on the Person Memorial Hospital Patient Portal includes: Admit and discharge dates and locations; Procedures performed during admission; Current and past problem list; Current medication list and medication history; Current medication allergy list and allergy history; Immunization records; Vital signs at discharge Fax: (704) 878-4634. We strive to meet the ever-changing needs of our patients. Business Hours: 8:00 a.m. 4:30 p.m. Monday Friday. Please indicate STAT for all urgent requests. Website. The HIM Department will be closed to the public on the following major holidays: New Years Day. Memorial's Health Information Management department oversees the management of all medical records and release of information for care provided to patients at all locations across the Memorial Health System. Please bring your identification along with authorization form to: Medical Records Center at Memorial Hospital. Get Your Medical Records. Radiology Films/Reports: Phone: 954-265-5600. To obtain Radiology Images, please contact the Radiology Department directly. Additionally, you have access to your information through a secure online portal. Attn: Health Info. We provide comprehensive health care services to Person County and surrounding areas, licensed for 98 beds. The paper form is available in the Medical Records Department. Follow my Health allows patients to enroll in Memorial's online patient portal to gain online access to their medical records. In-Person. Notice to copy lengthy records requires up to 5 days. Phone Number: 503-561-5750. Records delivered by mail will be shipped within 5-7 Business days after processing. Medicalrecords@lmh.org. To obtain a copy of a medical record from Memorial Healthcare System, you must complete and submit the Authorization for Release of Confidential Medical Records Form. Medical Records Center at Memorial Hospital 420 34th Street Bakersfield, CA 93301 The hours of operation are Monday - Friday, 8 a.m. - 4 p.m. You may send your request in the following ways: Fax: (844) 481-0298. Please submit the form either in person, via fax (1.678.274.5934) or by mail to the address located on the header of the form: Manchester Memorial Hospital Authorization Form [PDF] For additional information, or to check on a status of a previous request please call (877) 302-7338 . To obtain copies of birth certificates you must call or write to request a copy. CHI Memorial Medical Records office hours are Monday - Friday, 8:00 a.m. - 4:30 p.m. at CHI Memorial Hospital Chattanooga. Birth and Death Certificates: Contact Broward County Vital Statistics: 954-467-4413. As per Florida Statute 395.3025, Jackson Health System is allowed to charge $1.00 per page for copies of medical records. Feel free to call Medical Records at 805/948-5047 with any questions, and we will be happy to assist you. Email Requests. To request records and radiology images from the hospital (Torrance Memorial Medical Center), complete the online form below. Respiratory Services. Downloading the authorization form, located below, and faxing it directly to our medical records department at ( 307) 742 1924. Records for medical emergencies will be faxed directly to a physician or medical facility. FAX: 724-543-8498, Attn: Correspondence. Washington, D.C. 20002. Mail: PO Box 290789. MAIL: ACMH Hospital, ATTN: Medical Records, One Nolte Drive, Kittanning, PA 16201. Please call (661) 540-0211 for more information. Hours of operation are Monday through Friday, 8:00 a.m. Download Provider PDF Directory Person Memorial Hospital 615 Ridge Road Roxboro, NC 27573 336-599-2121 Authorization for Hospital Treatment. When you expect to be admitted to our hospital, you will be asked to fill out a number of forms. Records delivered by mail will be shipped within 5-7 Business days after processing. You may appear in person at the Health Information Management department inside any of the Memorial Health affiliate hospitals to pick up your records. You may be able to pick up your records same day as your request, as time permits. Or, records can be mailed directly to your home.