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st thomas medical group medical records

I hereby Authorize Steward Medical Group To: Specific Records/Report(s) to be released: Restricted Authorization to Release Protected Information: Steward Medical Group Authorization to Use Comments *** Please do not pre-pay. A secure database serves as a document repository for patient electronic medical records and provides physicians with instantaneous access to a patient’s medical history and current health profile. For this reason we are pleased to offer our patients easy accessRead more The Medical Records Department will verify your identity by photo I.D., signature, or pertinent questions. Frederick Health Medical Group physicians know and trust one another. A separate authorization must be completed for each request. 1601 W. St. Mary’s Rd. Signature Medical Group (SMG) Date Needed: _____ Correspondence Dept. Fax: 414-325-5066 Phone: 414-447-2005 or 414-447-3789 Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.

St. Joseph's Health Information Management Department maintains all patient medical records. Phoenix, AZ 85013 Once you have completed this form, you may: Drop it Off - Authorization to View/Disclose Health Information forms are accepted during business hours. Please Note: Records from Wheaton Franciscan - Brown Deer Campus may be obtained through Wheaton Franciscan - St. Joseph Campus. Non-patient requesters (attorneys, etc.) Print a copy of the form, fill it out and return to the Medical Records Department in person. These site-specific numbers are listed below. Fax: 414-874-4480 The medical record is a permanent document of the history and progress of every patient's medical care. Please print this form, fill it out completely and take it to your physician’s office or the facility from which you wish to obtain your medical records. An appointment to view your medical records can be arranged by calling the Release of Information Area (Medical Records) at a specific hospital or clinic. Milwaukee, WI 53210 Fax: 414-325-5066

5000 W. Chambers Street Midwest Orthopedic Specialty Hospital. Racine, WI 53405

Fax: 602-406-4120, Center for Liver Disease and Transplantation, If you would like to request a copy of your medical records for yourself, please use this request form in. If you have any questions please call 602.406.3350. Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m. 3807 Spring Street (Lower Level) Ascension is working to keep our communities healthy during this time and prevent the spread of infection while continuing to care for those who need us most.

We are fully prepared for your safety when you are in our care. ATTN: Medical Records Office

If you are picking records up, they will be available at St. Joseph. Working together is the key to outstanding patient care. An authorization form must be used for all requests for personal health information. Fax: 262-687-8060 In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. Appointments are scheduled as soon as possible but may be delayed if your record is not available. You can make a difference in the lives of Ascension caregivers.

All ERs at Ascension hospitals are open 24/7 to care for major illnesses and injury. Phone: 414-447-2005 or 414-447-3789 Phone: 262-687-8147 St. Thomas Community Health Center believes that information is power and that you have the right to view and access your medical information in order to take a more pro-active role in managing your health. HIM Departments Carondelet St. Mary’s Hospital. As a patient of Ascension Wheaton, you have the right, consistent with laws and regulations, to see and receive a copy of health information about yourself. Phone: 262-687-4388 Please print this form, fill it out completely and take it to your physician’s office or the facility from which you wish to obtain your medical records. Be sure to sign and date the form. Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m. Wauwatosa, WI 53226 Receive the Summa Health eNewsletter for the latest health tips, advice and updates. The record is a compilation of observations and findings recorded by the patient's physician and members of the hospital healthcare staff, the entries and reports originate at various points in the Hospital. We are unable to accept authorizations via e-mail due to state and federal laws. If you are picking records up, they will be available at St. Joseph. Phone: 262-687-8408 Paper Copy of Medical Records: Please complete the following steps to obtain a paper copy of your medical records: Print and complete the Medical Records Release Form. Wheaton Franciscan - St. Joseph Campus Phone: 414-817-3965 An authorization form must be used for all requests for personal health information. Fax: 262-687-4108 Hours: Monday - Friday: 7:00 a.m. - 4:30 p.m. 19525 W. North Avenue

Use our online tool to check symptoms and get advice about next steps. Patients also have the right to request amendments to their medical records. Please enter 2 or more letters of the last name. Copyright © 2020 Ascension. We're sorry, there was an error while processing your request. Franklin, WI 53132 Patients must request their records in writing. Phone: 414-325-5065 Records are used for continuity of patient care, verify insurance claims for medical care rendered, as a legal/business document outlining the course of a patient's medical care, provides statistical and factual information for hospital administration and medical staff committees, for hospital accreditation, licensing and other regulatory bodies and medical research. Incomplete forms will be returned to you unprocessed.

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