You have the right to have a family member and your own physician notified of your admission to the hospital. Exceptions are as required by law, transfer ofĬare or third party payor/insurance contract. No one outside the hospital, except your referring physician, may be given a copy of your record without your written permission. Your medical record will be treated as confidential by the hospital staff. If you have any questions, do not hesitate to call us. If you are requesting records sent to you directly and not your physician you will receive a bill. Please Note: Address the envelope Attn: Medical Records Our average turnaround time for processing requests for records that are on-site is 5-7 business days, off-site records 2-4 weeks. Medical Emergencies will be faxed directly to a physician or medical facility. Records will be sent to you via the US Mail. Place the completed authorization form in an envelope and mail - or fax- to the Medical Records department at Children’s Hospital of Michigan. Be sure to specify the dates of service and type of information needed (i.e., ER report from specific date visited). Please Note: The second page contains the fees for obtaining medical records.Ĭomplete all areas. Download, print and complete the authorization form, DMC Authorization to Release Medical Information and Fees. To receive medical records, you must complete and submit the DMC Authorization to Release Medical Information.
You have the right to request the disclosures we made of medical information
Once discharged, you may request and obtain a copy of your record for a reasonable fee. You have the right to see your medical record at a time suitable for both you and the staff. To do so, please fill out the Request for Amendment Form on the MultiCare website and submit it as specified on the form.Request Medical Records Release of Information If you believe that we have captured incorrect information in your medical record, you have the right to request that we amend it. If you have questions about the status of your request, please call 25 and ask to speak with our medical records department. We process medical records request as quickly as possible, but please allow up to 30 business days for your request to be processed. Records Custodian - Woodcreek Pediatrics - Mary Bridge Children's For assistance in completing a Release of Information form, please ask one of our front desk staff. If the records pertain to a minor child and you are requesting content that contains mental health, reproduction, substance abuse or other sensitive material, the minor child will be required to sign the form if they are age 13 or older (or any age for reproductive health records). Please pay special attention to the instructions on this form as it must be filled our completely for accurate processing.
If you are looking for a complete chart copy, copies of your records to be sent to a third party or other more complex requests, please complete the Release of Information Form available on our Forms page. If you are just looking for a copy of your recent visit, give our office a call or send us a secure message through the M圜hart patient portal and most of the time we can simply retrieve the document for you.
#PEDIATRIC MEDICAL RECORDS HOW TO#
How to obtain a copy of your medical records Once their child turns 13, parental access is limited.
#PEDIATRIC MEDICAL RECORDS FULL#
Parents are given full access to their child's M圜hart account through age 12. M圜hart Accounts for Family Members or Other Representatives Login to M圜hart to view the following information: You can login through any computer, tablet or mobile device to securely view the clinical records for you and your children. M圜hart is MultiCare's secure, web based medical information portal. Request a complete copy of your medical records either online through M圜hart of submit a paper form.View medical information securely online by registering and logging in to M圜hart.As partners in your healthcare, Woodcreek Pediatrics - Mary Bridge Children's gives you, or your authorized representatives a few options for accessing your Woodcreek Pediatrics - Mary Bridge Children's medical records: