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#Locate pediatric medical records for free#
#Locate pediatric medical records pdf#
#Locate pediatric medical records portable#

Submitting An Authorizationįor healthcare facilities requesting records, please fax your request to: Or you may contact the Health Information Management (HIM) Department at (409) 772-1965 and HIM will email or fax the authorization form to you.

#Locate pediatric medical records for free#

If you do not have the software to view and print this type of document, you can download the plug-in for free from the Adobe Web Site.

#Locate pediatric medical records portable#

These forms are designed for printing and are offered in Adobe Portable Document Format (PDF).

For all other requests for records please submit the following form: English and Spanish (forms 7032/7032SP).

For patients/parent or guardian needing records, please submit the following form: English and Spanish (forms 7033/7033SP).

UTMB has authorization forms that can be downloaded. In the case of a minor, a parent or legal guardian must sign the authorization. Authorizations must also be dated and signed by the patient or the patient’s legally authorized representative. Requests for the release of medical records (protected health information) must be submitted in writing and must contain all the elements required by law. Once consent has been completed, medical records can be obtained onsite from the following location: Therefore, medical records cannot be released to any person or organization without the consent of the patient or the patient’s legally authorized representative (unless authorized by law).

Lab and other results: please review M圜hart or follow the instructions from your physician’s office.As of January 21, 2019, UTMB Health Information Management has contracted STAT Informatic Solutions to process requests for the release of medical records (protected health information).Īll patient health care information at UTMB is confidential.

Please indicate on the authorization form if you prefer that the copy of the medical record be sent to the address specified on the authorization form, or if you prefer to pick up your copy from our office during business hours or require secure electronic delivery (must provide recipient’s email address). Health Information Management Release of Information G-108Ģ500 MetroHealth Drive, Cleveland, OH 44109 Mail (via US Postal Service) your completed authorization form to:

#Locate pediatric medical records pdf#

To obtain a copy of a medical record from The MetroHealth System:ĭownload the Authorization to Release Protected Health Information Form ( en español)Ĭomplete the form and send via one of the following:Įmail the completed form in PDF format to

Request Print or Email Copies of Your Medical Records.

You can also use M圜hart to request radiology images to share with your health care provider(s). You will be asked to fill out an online form determining which records are to be released, and whether to release them to yourself or directly to your provider. Login to your M圜hart account from the app or our website.įrom the menu select ‘Questionnaires’ and then select ‘Request a Copy of My Medical Records’. You can download, send, or receive medical records via your M圜hart account.įor test results, review your M圜hart account or follow the instructions from your physician’s office. M圜hart gives you fast, secure online access to your medical record.

Using M圜hart to Access Medical Records.

There are several options to request your medical records, and we look forward to fulfilling your request.