WebIf you need to request medical records from a Cone Health Medical Office or Practice, please fax or return the request form to your physician’s office/practice. If you have questions about requesting your medical records from a Cone Health Hospital, please contact the following Health Information Management offices: Phone: (336) 832-8677 WebA copy of your medical records will be provided to you within five business days from the receipt of the release of information. You may pick a copy of the Consent to Release …

Medical Record Fees - Department of Health

WebE-mail your completed form to (614) 533-1155. Healthcare providers can order records through a faxed request. The query must contain the patient’s demographics and necessary information, such as test results, notes and discharge summaries. Also include the care site press records you are requisition from. WebForms/Medical Record Release of Information Authorization.docx Page 1 of 2. PENN STATE HEALTH ST. JOSEPH . AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED … terhi 425

Patient Records Hershey Medical Center Penn State Health

WebYou can access your medical records online via our secure website, My Penn State Health, or by submitting completed forms to the Health Information Services office. Medical … WebIn the State of Pennsylvania, the physician who creates the patient’s medical records is the owner of those records. Current Pennsylvania Law states that a PHOTOCOPY of the … Web* * * IMPORTANT: Please send copies of medical records directly to the requesting practice or physician. * * * Page 2 of 2 Form #2606 Rev. (09/22) Release of Information PLEASE MAIL OR FAX THIS FORM TO: WellSpan Health Phone Number: (717) 851-6396 Health Information Management – Release of Information Fax Number: (717) 812-8119 terhi 440