Your request will be processed within 48 business hours. Please email the form and legal documentation to. Please fill out this form, sign and date the form, and provide the legal documentation supporting the requested changes. If you need to change a patient’s name or demographic information, the patient or guardian must use the following form. If none of the selections above accommodate your needs, you may remain on the phone for a representative to assist youĭ.Press 1 To receive a link to request medical records online.for further detailsįor questions or more information, you may call 32 during regular business hours. You will be prompted to select English or Spanish as your language of choice, and then be provided with the following options for more information: How can I request copies of medical records The Health Information Management (HIM) office is responsible for maintaining the confidentiality of all. Others, including attorneys or copy services: Contact the "Release of Information" Department directly at 32 between 8:00 a.m.Outside Medical (released directly to outside physician or outside facility): No cost and for laboratory inquiries, please contact the location where you received those services there may be multiple locations to contact for your records.Personal: No cost, but please note that any record request that results in over 40 pages (regardless of medium requested) will be put on a CD.The cost for requested records is dependent upon the purpose of the request: If a patient is a minor on the date of the last visit, then the physician must maintain the pediatric patient’s records for a minimum period of either seven years from the date of the last patient encounter or until the patient reaches the age of eighteen, whichever is the longer retention period. Learn more about M圜hildren’sLA Patient Portal HEALTHCARE PROVIDERS Access portions of your childs electronic medical record online or request printed medical records by fax, mail or in person, and read frequently asked. PATIENTSĬlick Here to Sign Up for M圜hildren’sLA Patient Portal Please note, Chrome, Safari and Firefox are the recommended browsers for this application. There is no additional charge to use this service. This tool is available in both English and Spanish. Use Our Online Request ToolĬhildren's Hospital Los Angeles now offers an online records request tool that verifies your identity by asking for a photo of your driver's license, which can be taken via webcam or smartphone. Contact UsĪll inquiries regarding requests for access or release of protected health information should be directed to the Health Information Management department by calling request medical records: A. NOTE: Please complete all sections of the release form.
LOCATE PEDIATRIC MEDICAL RECORDS HOW TO
Option 1: How to use M圜hart to access all medical records. How to Submit Requests for Medical Recordsįax the completed Authorization for Release of Protected Health Information form (English) or the Authorization for Release of Protected Health Information form (Spanish) to 860.837.5785 or send it by mail to: You may obtain medical records in one of two ways: through M圜hart or by requesting copies. Questions regarding the release of deceased patient records in the absence of these documents should be referred to the manager of the Health Information Management department. When a minor has received treatment for sexually transmitted disease, birth control, drug/alcohol abuse, HIV or mental illness, the records will only be released upon the minor’s authorization.Ī qualified person or personal representative may obtain the records of a deceased patient upon receipt of a notarized, written request, or a completed Authorization for Release of Protected Health Information form and letter of testamentary or a letter of administration from a Surrogates Court.
For patients who are younger than 18, parents, next of kin or legally appointed guardians must complete the form in order to obtain a copy of medical records. Patients must complete the Authorization for Release of Protected Health Information form in order to obtain a copy of their medical records. Therefore, patient information will only be released upon receipt of appropriate patient authorization, valid subpoena or court order. Any information contained in the medical record is confidential and protected by federal and state law.
It is the obligation of the hospital to protect the confidentiality of our patients’ medical records.
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