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Medical Records | hartfordhospital.org | Hartford Hospital

    https://hartfordhospital.org/patients-and-visitors/for-patients/medical-records
    You now have immediate access to more information in your MyChartPLUS electronic medical record, including additional clinical results and clinician notes as soon as they’re …

Consent Forms - hartfordhospital.org | Hartford Hospital

    https://hartfordhospital.org/health-professionals/medical-staff-services/hartford-hospital-forms/consent-forms
    Hartford Hospital Forms Consent Forms Print Email Share Text Decrease …

Medical Records | Hartford HealthCare | CT

    https://hartfordhealthcare.org/patients-visitors/patients/medical-records
    Hartford Hospital / Institute of Living Phone: 860.972.4764 Fax: 860.545.2328 Healthcare Requests Fax: 860.545.6764 Email: Click here Location: 80 Seymour Street, Bliss 104 …

Hartford Hospital Forms | hartfordhospital.org | Hartford …

    https://hartfordhospital.org/health-professionals/medical-staff-services/hartford-hospital-forms
    Prior to receiving care, patients will need an up to date admission form. Medical Staff may find all relevant admission forms here. Consent Forms. Certain procedures and …

Contact Us | hartfordhospital.org | Hartford Hospital

    https://hartfordhospital.org/contact-us
    Hartford Hospital can provide or release copies of medical records at the written request of patients or their authorized legal representatives. Get Started * If authorization is …

AUTHORIZATION FOR RELEASE OF …

    https://hartfordhealthcaremedicalgroup.org/File%20Library/Forms/Medical-Records-Release-Form-Effective-8-3-15.pdf
    This authorization will be valid for a period of one year from the date below. I understand that I may revoke this authorization at any time by notifying Hartford Healthcare …

Medical Records | hartfordhospital.org | Hartford Hospital

    https://hartfordhospital.org/contact-us/medical-records
    The Health Information Management Department (Medical Records) maintains and safeguards the confidentiality of medical record information in accordance with the …

Hartford HealthCare Forms | Hartford HealthCare | CT

    https://hartfordhealthcare.org/health-professionals/forms
    Hartford HealthCare Offices. 100 Pearl Street, Hartford, CT 06103 • Contact Us. Donations to Hartford HealthCare are managed by the Hartford Hospital …

Authorization for Surgery and/or Special Procedure/Treatment

    https://hartfordhospital.org/File%20Library/Hartford%20Hospital%20Forms/Consent%20Forms/571084.pdf
    also authorize the Hospital and the above-named physician(s) to photograph, video and /or use any other mediums which result in the permanent documentation of my image for …

Physician's Order Forms | hartfordhospital.org | Hartford Hospital ...

    https://hartfordhospital.org/health-professionals/medical-staff-services/hartford-hospital-forms/physicians-order-forms
    May 6, 2011



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