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Obtain Copies of Your Medical Records - Main Line Health

    https://www.mainlinehealth.org/patient-services/medical-records
    Requests for medical records may be made by returning an Authorization for Disclosure of Health Information form via mail or fax to 610.356.3167. Records can be released to anyone that the patient authorized (in writing) to receive such information. A valid authorization must contain the following information, or … See more

Bryn Mawr Hospital | Locations | Main Line Health

    https://www.mainlinehealth.org/locations/bryn-mawr-hospital
    Bryn Mawr Hospital is a 287-bed, not-for-profit, acute-care teaching hospital dedicated to helping the community stay well ahead on the path to lifelong health. Our hospital and our …

Patients & Visitors | Bryn Mawr Hospital

    https://www.mainlinehealth.org/locations/bryn-mawr-hospital/patients-and-visitors
    To share your concerns, suggestions or experience with any Main Line Health hospital, please contact our Patient Relations Department by calling: 1.484.337.2662. You or …

Authorization Disclosure Health

    https://www.mainlinehealth.org/-/media/files/pdf/basic-content/patient-services/authorizationdisclosurehealthinfo.pdf?la=en
    Authorization Disclosure Health

Welcome | Main Line Health

    https://www.mainlinehealth.org/
    Main Line Health is home to four of the region’s most respected acute care hospitals—Lankenau Medical Center, Bryn Mawr Hospital, Paoli Hospital and Riddle …

Medical Records Request - Crozer Health

    https://www.crozerhealth.org/patients-visitors/medical-records-request/
    If you need to speak to someone regarding your medical records, please call 610-447-2375, option 1 At Crozer Health, our top priority is the health and safety of our patients, their …

Authorization For Disclosure Of Healthcare …

    https://www.brynmawr.edu/sites/default/files/media/documents/2022-01/Records_Release_Form-MEDICAL.pdf
    Authorization . I hereby authorize the Bryn Mawr College Health Center to release the information described above. I understand that information related to HIV and emotional …

Forms | Bryn Mawr Medical Specialists Association

    https://bmmsa.com/forms/
    BMMSA Non-Discrimination Statement Patient Registration Form Notice of Privacy Practices Late Fee Notice Acknowledgement of Receipt of Notice and Consent Financial …

Protected Health Information Authorization for Release, Use, …

    https://towerhealth.org/sites/default/files/pdfs/2021-02/Urgent%20Care%20-%20English%20-%20PHI.pdf
    understand the following: I may revoke authorization in writing at anytime; this revocation will not apply to information that has already been released in responseto this …

Orthopedic Surgery Center at Bryn Mawr Hospital …

    https://www.onemedicalpassport.com/CMSDOCS/949other.pdf
    You may revoke your authorization in writing at any time, provided you notify us. If you revoke your authorization, it will not take back any disclosures we have already made. …



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