Most medical records are available online at no charge through our patient portal. We do our best to expedite all requests, but in some instances it can take up to 30 business days to complete the request.Online Medical Records Request Through MyUCSDChart We do our best to expedite all requests, but in some instances it can take up to 30 business days to complete the request. In addition, your entity may offer other options for receipt of your medical records. By picking them up in person after making arrangements with Health Information Management (HIM).You can receive your records in a variety of ways including: Receiving Your RecordsĪfter the authorization form is filled out and received by our office we will provide a copy of your medical records. To help us serve you better, please set your location for information on how to access your medical records. Request to Amend or Correct Protected Health Information Form.Amend or Correct Protected Health Information If you need to withdraw your authorization for verbal authorization or have any questions regarding authorizing verbal communication, contact us at 60. Authorization for Verbal Communication (Spanish).Authorization for Verbal Communication (English).Use this form to allow communication to other persons involved in your medical care. If you have questions please call one of our representatives at 60. SSM Health Monroe Hospital, Health Information Management Authorization for Use and Disclosure of Protected Health Information (Spanish).Authorization for Use and Disclosure of Protected Health Information (English).This timeframe is dependent on the number of records being copied and transferred.Ĭomplete the form you need with the required information to request your medical records. You can expect your request to take 10-30 business days to be processed. Give your completed form to your Medical Group's Patient Services department. EnglishĪccounting of Disclosure Form: Use this form to request an accounting of releases of PHI, pursuant to patient authorization and as otherwise regulated to state law. Release Restriction Form: Use this form to request restrictions on release of protected health information. Permission for Verbal Communication: Use this form to allow communication to other persons involved in your medical care. Patient Authorization to Release Pharmacy Records: Use this form to request copies of your SSM Health Pharmacy records. Patient Request to Amend Health Information: Use this form to request an amendment to existing health information. Patient Revocation of Authorization to Disclose Protected Health Information: Use this form to revoke (cancel) a previous medical records authorization. Patient Authorization Protected Health Information: Use this form to request copies or transfers of your medical records. To help us serve you better, please set your location for information on how to access your medical records.Ĭomplete the form you need with the required information. In processing this request, you will be asked to validate your identity and give authorization for your record's release. To request your medical records from a medical group location - including medical group offices located on hospital campuses, use the region specific links below. In the event that you need a complete copy of your SSM Health medical records, you'll need to complete and return the Authorization for Release of Protected Patient Health Information form to your local entity's Health Information Management (HIM) Department. M圜hart enables you to view test results, schedule appointments, or refill prescriptions however, there are some limitations to what can be viewed in M圜hart. You can sign up to view your or your child's medical record from your computer or smartphone using M圜hart. Access Your Medical Records through M圜hart
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