Locate pediatric medical records license#
Locate pediatric medical records download#

You may request a copy of your medical records by: Information/instructions on the multiple ways to obtain a copy of records Hours of operation: Picking up images – Monday through Friday, 7 a.m. Select a hospital Bristol Regional Medical Center Hospital & long-term care facility medical records You may receive a copy of your medical records in paper or electronic form. If you prefer not to request your records online or are unable to do so, please see the additional options listed below.Ĭomplete patient release of information form

Locate pediatric medical records license#

You will be asked to verify your identity using a photo of your driver’s license or other government-issued ID. You can also request medical records using the CIOX system, which does not require you to set up an account. Request your medical records or records for dependent children using the M圜hart patient portal. Patients – for copies of your medical records Online request through M圜hart Physicians/providers – for copies of patient recordsįor physicians or other providers with an urgent medical records request while a patient is being treated in the office or for an approaching appointment, please fax a copy of the request letter to (678) 999-4895.įax coversheet with the requesting office's letterhead is acceptable. Written authorization is required for medical records and must be submitted directly to the hospital’s Health Information Management department.Looking for your patient portal? Log into M圜hart here.

Locate pediatric medical records download#

Download the Duke University Health System Request for an Accounting of Disclosures Form (PDF, 197 KB).Download the Duke University Health System Affidavit of Surviving Spouse or Next of Kin (PDF, 82.04 KB).Download the Duke Health Enterprise Minor Patients (12-17 Years) Authorization to DHE Providers' Access to Individual Electronic Medical Record (Maestro Care) (PDF, 670.37 KB).Download the Duke Health Enterprise General Authorization to DHE Providers' Access to Individual Electronic Medical Record (Maestro Care) (PDF, 766 KB).Download the Duke Health Enterprise Request for External Records Form in English (PDF, 952 KB) and Spanish (PDF, 252 KB).Download the Duke Health Enterprise Verbal Release of Information Authorization Form in English (PDF, 516 KB) and Spanish (PDF, 214 KB).View the instructions for completing the authorization form (PDF, 508 KB).Download the Duke Health Enterprise Authorization for Release of Protected Health Information Form in English (PDF, 1 MB) and Spanish (PDF, 308 KB).Warrants and subpoenas served by one of the methods above during the national emergency will be honored.įor specific questions or unique circumstances regarding warrants or subpoenas please email or call 91. In person hand delivery of warrants and subpoenas are not accepted during the national emergency. Service of Warrants and Subpoenas should be accomplished through one of the methods above. We are open Monday – Friday 8:00 am to 4:30 pm.

We are also available to answer any questions you may have on completing the release form or any general release of information questions.įor Third Party Requests, e.g., attorneys, warrants, subpoenas, etc.: We are open Monday – Friday, 8:00 am to 4:30 pm.

If you have questions, please email call our Customer Service Line at 91. Once you have completed the form, choose one of the following options to send it to us:

Download the HIM/ROI Authorization Form using the form links below.

Please do not come into the hospital for medical records requests. If you would like to request a copy of your medical records from a Duke Health entity, then please use the information below. Due to COVID-19, we are changing our processes to assist you.