Carilion Tazewell Community Hospital (CTCH) Attn. Our goal for delivery is within 3 business days, but due to volume of requests received, it may take up to 14 business days. You can make a request for records by filling out the form below. Our Health Information Management (Medical Records) Department will be closed temporarily to the public. Health Information Management Department 2827 Fort Missoula Road, Missoula Montana 59804 Phone: 406-327-4085 Fax: 406-327-4510. All Rights Reserved. Main Number 219-836-1600. Phone: 317-585-5423 Main hospital phone: 317-215-3800. Call your primary care office for a phone or video visit. This review may take an additional 7-10 days to process. Fax: (360) 374-6238. To request patient records from Community Rehab Hospital North or South, download and fill out this form: Patient Request for Release of Information (PDF) Mail or fax the request form to the appropriate location: Community Rehabilitation Hospital North Attn: HIM Department 7343 Clearvista Drive Indianapolis, IN 46256 Fax: 317-585-5472. Mail or fax the request form to the appropriate location: Community Rehabilitation Hospital North Obtaining a copy of your MCH medical records is easy: 1. Health Information Management Services 2351 G Road Grand Junction, CO 81505 Phone (970) 644-3390 Fax (970) 644-3419 Click here for the Community Hospital Authorization to Disclose PHI form Visit our Patient Portal Page Here Please note that if attempting to review your child(s) medical records without portal access yet, please call medical records first to receive additional instructions at (330) 263-8615. Helpful Information. Diagnostic Imaging at Franklin Woods; Family Birth Center at Franklin Woods See our COVID-19 FAQ for visitor guidelines and more. To obtain your medical records, you may: 1. Community Hospital in McCook, Nebraska provides advanced care to more than 30,000 people throughout southwest Nebraska and northwest Kansas. Community Health Network patients can now request copies of their medical records using the electronic request form within their Community MyChart account. This critical access facility excels in surgery care, rehabilitation programs, obstetrics, emergency care, and offers a wide range of visiting specialists. Fax your request letters with authorization to 317-351-7728. Main hospital phone: 317-585-5400, Community Rehabilitation Hospital South Norwalk Hospital Health Information Services 34 Maple Street Norwalk, CT 06850. Medical Records Medical Records. For other questions about medical records, call the phone number below at the location where you received service. If you have problems accessing the form, call 315 464-7832 (downtown) or 315 492-5565 (community) In Person: If you would like to request a copy of your medical record in person, the Release of Patient Information Services is located in room 1500 on the first floor of University Hospital. Choose if you have an activation code or need an activation code and follow the steps to create an account. Doctors Community Hospital Health Information Services Correspondence 8118 Good Luck Road Lanham, Maryland 20706 roirequest@DCHweb.org. Admissions and General Information 570-522-2000; Community Health and Wellness 570-768-3200; Development 570-522-2685; Gift Shop 570-522-2692; Human Resources 570-522-2595; Marketing and Communications 570-522-4177; Medical Records 570-522-2572; Medical Services Organization Administration 570-522-2990; Patient Accounts/Billing 570-768-3000; Patient Rooms 570 … We will need your signed authorization for any release. Medical Records Obtaining copies of your medical record. 7343 Clearvista Drive limited or unavailable. Get a ride. If you any questions, please do not hesitate to call us at 631-654-7710. At this time, our Health Information Management Release of Information area is closed to patients, guests and visitors. Please note that it can take up to 30 days as allowed by law. Central Scheduling 219-836-4599 *Behavioral health and Community Rehab Hospital patients, please note specific instructions. The staff is dedicated to making a positive contribution to the consistent high quality care provided to you before, during and after your stay at St. Bernardine Medical … Release Records: To request a Fairbanks patient record be shared with another party, download and fill out the Consent for Mutual Disclosure form.Request Chart Corrections: To request a correction to your Fairbanks medical chart, download and fill out the Request for Record Amendment form. For Community Behavioral Health Center: Community Behavioral Health Center Attn: Health Information Management Department P.O. Admitting 219-836-6733. Fax: 317-351-7728. CGCH HIM Phone: 540-922-4167 FAX: 540-921-5016. Phone: (831) 625-4577. Knox Community Hospital ATTN: Medical Records 1330 Coshocton Road Mount Vernon Ohio 43050 We will send your records immediately upon request. Careers You may download our Medical Records Disclosure/Release Form, fill it out and fax it to us at (909) 335-5695. Fax: 317-849-7354 All patients have the right to privacy of health information concerning their care and treatment. If you have questions about the process for requesting medical records, please contact the HIM Release of Information department directly at 317-355-5802. P.O. Please allow 7-14 business days for completion of a medical records request. Attn: HIM Department Mail or fax the form to our centralized HIM location: To receive a copy of your behavioral health record, download and complete this form: To release your behavioral health record to anyone other than yourself, download and complete this form. Riverside Community Hospital 4445 Magnolia Ave Riverside, CA 92501 Telephone: (951) 788-3000. Fax hours are Monday - Friday, 8 a.m. to 4:30 p.m. For release requests after hours/weekends/holidays, please call HIM at 317-355-5752. Community Virtual Care visits available 24/7. See our COVID-19 FAQ for visitor guidelines and more. Be sure to include your name, date of birth and a phone number where we can reach you. Visitor Policies: Visitation is still limited in locations and care areas. Contact the Norwalk Hospital Medical Record Department. Please note that it can take up to 30 days as allowed by law. Box HH, Attention: HIM/legal desk, Monterey, CA 93942, If you need more information, please contact us.Phone: (831) 625-4577Fax: (831) 625-4554. InteliChart PatientPortal: https://patientportal.intelichart.com/login. Request for medical record copies for any use other than medical care may be subject to a fee. Phone: (785) 210-3370. For other care needs, call 317-621-2727 to be directed. Visit the MyChart website and go to Create an Account on the right-hand side. 1500 North Ritter Avenue Windham Hospital Medical Records (M - F 8:00 AM to 3:30 PM) 112 Mansfield Ave., Willimantic, CT 06226 Get Directions >> Phone… Preferred contact number (home phone/mobile phone) of the person making the request Provider information from whom records are being requested; include the provider’s name and/or the name of the hospital, surgery center or health center/clinic that provided the service 1500 North Ritter Avenue. Contact our Health Information Services Department for more information or to schedule an appointment to view your health or medical record. As a service to our patients, copies of medical records for continuing medical care are provided free of charge if … Montage Health and Community Hospital are committed to your health and safety during the pandemic. Hours: Monday - Friday, 8 a.m. to 4:30 p.m. © 2020 Montage Health. Patient Billing 219-934-8888. There is a reasonable cost-based fee for obtaining record copies. A fee for medical record copies may apply. 820 E Mountain View St, Barstow, CA 92311, USA. Fax: 317-215-3801, Phone: 317-215-3810 There are multiple ways to request a copy of your medical record, including online through MyChart or by mail. To request copies of your medical records, please complete and send the medical records request form to the address or email address below. Geary Community Hospital’s Health Information Department can provide you with copies of your medical records if you authorize us to do so. *Note that some medical records may only be available through our hospital Medical Records office. Millcreek Community Hospital – 5515 Peach Street, Erie, PA 16509. Fax your authorization or facility's coversheet/letterhead to 317-351-7728. Fax: (831) 625-4554. You may request a copy of your behavioral health record for yourself or to release it to other parties. For fast information, find the department you need to contact and dial them directly: Main Phone Number: (559) 675-5555; Department direct dial phone numbers are listed below. Franklin Woods Community Hospital. Our office is open Monday thru Friday 8:00 am to 4:00 pm, closed weekends and holidays. Health Information Management Release of Information Fax number: 732-557-2209. Records will be delivered electronically back to your MyChart account. Emergency Room 219-836-4511. Use our Patient Portal. Community Health NetworkAttn: HIM Release of Information Non-Medical. Visitor Policies: Visitation is still limited in locations and care areas. Human Resources 219-836-4568. Contact Us. Medical Record Copy Fees. Attn: HIM Department $8-10. 541-201-4000. See instructions below for patients, healthcare providers and third parties. The Medical Records Department phone number is 330-263-8615. Download the Medical Records Request form by clicking here 2. COVID-19 Testing: If you have a primary care provider, call the office for testing questions and next steps. Fax: 317-585-5472, Phone: 317-585-5423 Below you will find the MCH Phone Directory. Select "Record Request" to fill out your request. Time, our Health Information concerning their care and treatment 909 ) 335-5695 Fresno! Visits as part of an evaluation ( walk-ins not accepted ) Department 2827 Fort Missoula Road Missoula!: ( 559 ) 459-3925 Fax: 317-351-7728 to process a request for medical.. 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