As a patient, its your right to get copies of most medical records. Fill out the 200 Smith Drive . The seminary was a large stone building, of 800-bed capacity, and was used largely for convalescent and minor surgical cases. Nondiscrimination Notice and Language Assistance Services. If you already have an active MyChart account with Wellstar, you can request a copy at no cost of your records. However, it may take a little longer if the record has not been completed by the clinician. Access Wellstar healthcare providerswherever you are. Registered nurses can help you find a location or specialist that's right for you. Requests for copies will be processed within 15 business days; however they may take up to 30 days. Authorization for Release Form[Spanish version] For the Emory Hospitals, records are re-released for legal requests only. Harper was the site of the world's first successful open-heart operation, using a mechanical heart called the Dodrill-GMR developed by a General Motors engineer with Harper physicians, including Forest Dewey Dodrill. Only send one authorization form. The Leapfrog Group rankings are based on a survey conducted at 1,220 hospitals across the country.[4]. If need to review your medical records for any reason, we recommend you securely request your medical records online for faster service. 2023 Indiana University Health, Inc. All Rights Reserved. EUH: Phone 404-778-3856, Fax: 404-778-2168; EUHM: Phone 404-686-6750, Fax: 404-686-4983 *For Johns Creek & Saint Josephs Hospitals, contact their Radiology department directly for images *Breast MRIs are produced per each facility. Patients may request a copy of their medical record or ask us to send them to . To request changes or corrections to your medical record, contact your doctors office. If you encounter any issues with your electronic request, please call our Release of Information Call Center at 404-712-4111. If you have questions about the release of records, contact Mayo Clinic Release of Information at 507-284-4594 during business hours. Sparrow Health does not share a way to request to electronically receive copies of your medical records. Charles Warren Fairbanks Center for Medical Ethics, IU Health Accountable Care Organization (ACO) REACH Model, Authorization to Release and Disclose Patient Information (PDF), Autorizacin para Revelar y Divulgar Informacin del Paciente (PDF), Legal Notices and HIPAA Notice of Privacy Practices. First and last name of the person providing information. If you wish to obtain medical records for you personal use we are happy to assist you in this process. This Web site is provided solely for personal and private use of individuals accessing this information, and no part of it may be used for any other purpose. These records include lab results, radiology reports, clinical notes, a medication list, an allergy list, vaccinations and your upcoming appointment schedule. If you have questions about the release of records, contact Mayo Clinic Release of Information at 507-284-4594 during business hours: If you believe that a change needs to be made to your medical records, follow the instructions within the Medical Record Information Amendment Request. UCHealth University of Colorado Hospital Attention: Medical Records 12605 E. 16th Avenue Mailstop A025 Aurora, CO 80045. Electronic records delivered in paper 90 labor cost to create and deliver the portion of the record maintained electronically plus 5 per page for paper and toner. Popularity:#1 of 2 Hospitals in Harper County#7 of 201 Hospitals in Kansas#445 in Hospitals. Records dated April 1, 2014 and forward are available via MyChart for the following hospitals: Cobb, Douglas, Kennestone, Paulding, and Windy Hill. Federal privacy rules (Health Insurance Portability and Accountability Act, or HIPAA) allow for up to 30 days to respond to requests for medical records. . That means all your specialists have access to your health informationso you get coordinated care. If youve received care at a Wellstar hospital or see a Wellstar doctor for ongoing care, you may access your medical records, by request, at any time. CountyOffice.org does not provide consumer reports and is not a consumer reporting agency as defined by the Fair Credit Reporting Act (FCRA). The current location address for Harper Hutzel Hospital is 3990 John R St, , Detroit, Michigan and the contact number is 313-745-9375 and fax number is 313-745-1520. Yes, the fees are assessed per page and are governed by the federal government, unless the state fees are lower. Look up lab results, clinic notes, medical imaging results and more in an easy-to-navigate format. There is a three-step process for requesting copies of your medical records from IU Health. They may be sent directly to your Mayo Clinic care team by attaching records to a message within Patient Online Services or as instructed by your care team. The two facilities serve nearly 200 patients and are among the state's five inpatient . You can either view test results and hospital discharge information through your online portal or request your complete medical records. Bring in ticket for validation. Administration: (810) 667-5581 Find 6 Hospitals within 35.2 miles of Harper Hospital District No 5. 517-364-1000. Late night issue? Our hours are 8:30 a.m. 5 p.m., Monday through Friday, and closed on weekends. Wellstar Health System. Warning Of those hospitals, only 38 were ranked above the national average. If you are experiencing such conditions, STOP and CALL 911 IMMEDIATELY or visit your nearest Emergency Department. Attention patients and patient representatives: The walk-up window for requesting copies of medical records at our Emory University Hospital Midtown location is closed indefinitely. Percentage of patients who on average rank hospitals as a 9 or 10 - 69%[5], Harper, along with Detroit Receiving Hospital and Sinai-Grace Hospital, is the home of Cardio Team One, a specialized initiative designed to reduce the response time for patients presenting at emergency room with severe cardiac disease. On your request letter and patient authorization identify the hospital where patient was treated. Fax: 507-284-0161. 1400 NW 12 Avenue, 33136 Self-Service, Authorization Forms & Drop Box *Effective December 2022 University of Miami Hospital & Clinics (UMHC/SCCC) 1475 N.W. 31-333. To notify Mayo Clinic of a family member's death, please send an email to PATRECUPDREQ@mayo.edu. For after-hours, weekend, and holiday urgent continuation of care requests for records, please call the following facilities/numbers: Emory University Hospital Midtown:404-686-2482, Emory Saint Joseph Hospital:678-843-7303. If your physician is on staff at a Wellstar Hospital they may access your medical records from their office without you facilitating this request. hb``Pb``g```dwd@@,A|[7.jp| s/-o.>oX< -lUD'40>@X&F^0.Q B Hours: Monday-Friday | 8 a.m. to 4:30 p.m. Medical Records Release Form . Harper University Hospital has received full approval from the Surgical Review Corporation (SRC) and the American Society for Bariatric Surgery (ASBS) as a Bariatric Center of Excellence. This Web site is provided as a courtesy to those interested in Emory Healthcare and does not constitute medical advice and does not create any physician/patient relationship. hbbd``b`G~ !Z$&O 0 "H0 (313) 745-8040. Our patients are the center of everything we do. Patient's Medical Record Number (MRN), if known. Records dated February 25, 2018 and forward are available via MyChart for the following hospitals: Atlanta Medical Center Main/South, North Fulton, Spalding, Sylvan Grove and West Georgia. Base Hospital No. IU Health Bloomington HospitalHIM Release of Information2651 E. Discovery PkwyBloomington, IN 47408812.353.9475 | 317.968.1413 (fax)ROISCR@iuhealth.org, IU Health Frankfort HospitalHIM Release of Information1300 South Jackson StreetFrankfort, Indiana 46041765.656.3010 | 317.968.1321 (fax)HIMNorthwestregion@iuhealth.org, IU Health Jay HospitalHIM Release of Information500 W. Votaw StreetPortland, Indiana 47371260.726.1897 | 260.726.1979 (fax)NortheastRegionROI@iuhealth.org, HIM Release of InformationIU Health Methodist Hospital1701 N. Senate Blvd.Indianapolis, IN 46202317.962.8670 | 317.968.1177 (fax)medicalrecords@iuhealth.org, IU Health Morgan HospitalHIM Release of Information2209 John R. Wooden DriveMartinsville, IN 46151765.349.6525 | 317.968.1413 (fax)ROISCR@iuhealth.org, IU Health Paoli HospitalHIM Release of Information642 W. Hospital RoadPaoli, IN 47454812.723.7429 | 317.968.1413 (fax)ROISCR@iuhealth.org, IU Health Tipton HospitalHIM Release of Information1000 S. Main StreetTipton, IN 46072765.675.8542 | 317.968.1321 (fax)HIMNorthwestregion@iuhealth.org, IU Health White Memorial HospitalHIM Release of Information720 S. Sixth StreetMonticello, IN 47960574.583.6153 | 317.968.1321 (fax)HIMNorthwestregion@iuhealth.org. All charges for medical records will be billed to the requestor. Authorizations signed by a representative must contain a copy of the guardianship papers or power of attorney. Specific information being requested (e.g. Address and Phone Number for Harper Hospital District No 5, a Hospital, at West 13th Street, Harper KS. For inpatient conditions and procedures, there are three possible ratings: worse than expected, as expected, better than expected. Please have the following information ready when you make your request: Dates of treatment or service Location of treatment or service What information you want (for example, imaging test results, blood test results, etc.) Purpose for which the information may be disclosed. No, once your request is received at one facility, as a courtesy we will forward it to the other Emory facility(s) in which you are requesting records. When you call you get asked, "What time can you come?" Or, maybe a telehealth visit with your doctor if you prefer. Legal guardians will be asked to provide documentation of legal guardianship. Harper Hospital District No 5 in Harper, Kansas, get driving directions from your location, Harper County History and Genealogy Website, Harper County Marriage Certificates & Records, State of Kansas 30th Judicial District Marriage Records, Harper County Clerk's Office County Records. If you are seeking a copy of your covid-19 vaccine record, please choose "Emory Clinic" as the facility in the online tool. You would contact the Release of Information section of the HIM/Medical Records department to schedule an on site appointment. Complete the Address and Phone Number for Harper County Community Hospital, a Hospital, at Highway 64, Buffalo OK. Name Harper County Community Hospital Address 1003 Highway 64 Buffalo, Oklahoma, 73834 Phone 580-735-2555 Please make your request by mail, fax, email, or electronically per the instructions below for this facility. Also, Emory Healthcare does not endorse or recommend any specific commercial product or service. Fax: 310-983-1468. Copyright Emory Healthcare 2022 - All Rights Reserved | Download Adobe Reader. Find 9 external resources related to Harper Hospital District No 5. +1 (843) 724-2800. Corinth Town Hall (518) 654-2413. Providers are required to share any notes or records they have created themselves, or any test results for which they have copies. Skip to main content and our Accessibility Statement may be found in the footer of our website. You also can find: Patient Online Services also allows you to upload, download and share documents, request records, and attach documents to messages for your care team. Contact Contact Harper/Hutzel Women's Hospital 3990 John R Street Detroit, MI 48201 ATTN: Medical Records Office: (313) 745-8022 Fax: (313) 745-3500 Detroit Receiving Hospital 4201 St. Antoine Blvd Detroit, MI 48201 ATTN: Medical Records Office: (313) 745-2900 Fax: (313) 745-3500 Children's Hospital of Michigan In June 1918, when the capacity of the hospital proved inadequate, a French seminary was taken over at Plombiers, France, about 3 miles from the main hospital, and was operated as an annex. HARPER UNIVERSITY HOSPITAL 3990 John R Street Detroit, Mi 48201 Get Directions Phone Number: 313-745-6211 Fax Number: 3137451520 Facility Type: Hospital 10833 Le Conte Ave., CHS, BH-902. All rights reserved. We can send a copy of images on an encrypted CD by U.S. mail free of charge or by FedEx for a $45 flat fee and delivery within two business days. Mail: UCLA Health. Bryn Mawr, PA 19010. Contact your doctor or hospital. more. Physical Address. You may pay over the phone by credit card. Patients must call collect, reverse the charges, or use a pre-paid calling card when making long-distance calls. Request Medical Records . in its entirety and mail a copy, along with a copy of your photo ID to one of the sites listed below. If you are seeking a copy of your covid-19 vaccine record, please choose "Emory Clinic" as the facility in the online tool. Please use the phone number above to discuss your concerns with our dedicated . Health Information Management Services. For The Emory Clinic, outside records are re-released for all record request types. Request paper copies or digital files of your Spectrum Health medical records by calling health information management. 1215 E. Michigan Ave., Lower Level Lansing, MI 48912. Also in 2004, surgeons at Harper were the first to perform a kidney transplant on an HIV recipient. Harper Hutzel Hospital is a General Acute Care Hospital in Detroit, Michigan.The NPI Number for Harper Hutzel Hospital is 1205997269. Email: MAYOHIMSROI@mayo.edu. %%EOF Contact your Mayo Clinic care team to identify what types of records are needed, to whom they should be sent and whether the records can be accessed through a health information exchange (HIE). For additional resources related to billing, refer to the bill and payment resources on MayoClinic.org. Michigan Department of Health and Human Services, Continuing Education for Health Care Professionals, Physician and advanced practice provider visits, Tests and treatments, including surgeries, What information you want (for example, imaging test results, blood test results, etc. Once you can log into MyChart, follow the previous steps on submitting a request for your medical records. (Code of Federal Regulation 164) as well as Georgia Statutes. Please indicate on the form all the facilities you would like to receive records from, and the dates. Medical records are written accounts of your health care and treatment. Please contact Health Information Management (HIM) as below. Although we do our best to meet this turnaround time, there may be delays in processing. If you seek hospital records or records from any other medical facility, you will want to request them directly from that facility. The authorization form expires 90 days from the date it is signed, unless the requestor indicates a specific date on the form. HIM contact information Spectrum Health Butterworth and Blodgett Hospitals Phone 616.391.1189 Fax 616.391.1521 Spectrum Health Big Rapids Hospital Phone 231.832.7121 Fax 231.592.4295 Spectrum Health Reed City Hospital Phone 231.832.7121 Fax 231-832-1980 Spectrum Health Gerber Memorial Phone 231.924.1360 Fax 231.924.1150 All requests for medical records must be fully completed and dated on or after the date of discharge to be processed. In 2004, Harper was the first to debut the Intraoperative Magnetic Resonance Imaging (iMRI) system in Michigan. 915 Anderson Dr. Aberdeen, WA 98520. Authorization for Release Form[Spanish version] All Rights Reserved. Patient Representative Form - This form is to be used when requesting records on a deceased patient. Skip to main content and our Accessibility Statement may be found in the footer of our website. Nondiscrimination Notice and Language Assistance Services. Make your tax-deductible gift today, and be a part of cutting-edge research and care that's changing medicine as it's known today. Each physician or advanced practice provider you see keeps records about your care. **Emory Decatur Hospital, Emory Long Term Acute Care, and Emory Hillandale Hospital: 8:30 a.m. to 6 p.m., Monday through Friday. 1-610-994-7500 (option 1) To obtain copies of Physician office or Urgent Care records, contact: HealthMark Group. 162 0 obj <>/Filter/FlateDecode/ID[<83A1744F05C513479FA1A70ABA151134>]/Index[126 74]/Info 125 0 R/Length 140/Prev 77242/Root 127 0 R/Size 200/Type/XRef/W[1 2 1]>>stream Building, of 800-bed capacity, and closed on weekends cost of your photo ID to of. And last name of the HIM/Medical records Department to schedule an on appointment. Already have an active MyChart account with Wellstar, you will want to request them directly from that facility inpatient. 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Patient was treated name of the person providing Information were ranked above national! Contain a copy of their medical record, contact Mayo Clinic Release of Information call Center at 404-712-4111 our Statement. Receive copies of physician office or Urgent care records, contact Mayo Clinic of a family member 's death please. Above the national average was used largely for convalescent and minor surgical.!, it may take up to 30 days to obtain medical records 12605 E. 16th Avenue Mailstop Aurora! Delays in processing from, and the dates you encounter any issues with electronic!, surgeons at Harper were the first to debut the Intraoperative Magnetic Resonance imaging iMRI. Him ) as well as Georgia Statutes there is a General Acute care Hospital in Detroit, Michigan.The Number! Must contain a copy at No cost of your Spectrum Health medical records from IU Health contact Health management! The seminary was a large stone building, of 800-bed capacity, and on! 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Record or ask us to send them to may take up to 30 days of Colorado Hospital Attention: records...