University Hospital 1350 Walton Way Augusta, GA 30901 Attn: Medical Records (Health Information Services) You also can fax your completed form to 706-774-8737. As the No. According to the Washington Administrative Code (WAC 246-08-400), hospitals may charge $1.12 for the first 30 pages and $0.84 for additional pages. If you have questions, please call Island Hospital Medical Records at (360) 299-1326. Click here to view the fees charged for this service. Obtaining Copies of Your Medical Records. A member of the HIM staff will be able to assist you To obtain a copy of your medical records from a University Hospitals inpatient facility or outpatient facility, please contact the facility. This number includes Washington State sales tax of 8.5%. After entering a few key pieces of information, your records can be released to you through MyPortfolio at no charge. For physician office records, please contact the office. Your mail will not be answered by a clinician and any medical related content will be discarded and not replied to. If this is a medical emergency please call 911. Call (618) 463-7393 and someone will help facilitate the transmission of records Personal copies of medical records: Call (618) 463-7395. St. Louis, MO 63110 . Campus Box 1219 . Medical Records Please be aware that we are NOT the office that releases medical records. Medical records will often be transferred to another provider at no cost but in some instances there will be fees to cover the cost of providing copies. There is a three-step process for requesting copies of your medical records from IU Health. Download and print the Authorization to Release and Disclose Patient Information form. Obtaining Copies of Your Medical Imaging Washington University Health Information—Release Services . Medical Imaging for UW Health (608) 265-7118. 4240 Duncan Ave., Suite 301 . We may charge a reasonable fee for copying of requested health information. Request Your Medical Records Free of Charge via MyPortfolio. All patient health care information at MedStar Washington Hospital Center is confidential. Washington University partners with CIOX Health, the nation’s largest provider of release of medical information services, to process and fulfill your request for a copy of your medical record. Office Phone: 314-273-0453 Fax: 844.868.1435 • The revocation will not apply to information already released in response to this authorization. International Health Care: 202-865-4427 ; Main Switchboard-Operator: 202-865-6100 ; Please see below for additional departmental listings. Continuity of Care: information needed for hospital or physician visits will be sent directly to the healthcare provider requesting copies of the information. If you need a copy of a medical record from UW Medical Center, Harborview Medical Center, or the Neighborhood Clinics, please visit their website or contact Release of Information directly at 206-744-9000 or fax 206-744-9997. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report), UW Medical Center - Montlake is one of the world's foremost academic health centers, delivering exceptional, multidisciplinary care to a vast array of patients who come to us from across the globe. Hospital Medical Records Medical Records for UW Hospital and Clinics or UW Medical Foundation (608) 263-6030. Therefore, medical records cannot be released to any person without the authorization of the patient or the patient's legally authorized representative (unless authorized by law). Medical records can be collected in paper form or electronically, whichever you prefer. You can now request your medical records for your personal use from any UMMS hospital using the MyPortfolio patient portal. If you have any questions or would like a Release of Medical Information form sent to you, please call 706-774-5861. Request Records Online. Submitting a Written Authorization Requests for the release of medical records must be submitted in writing through the…

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