New York State Medical Records Release

You and Your Health Records - New York State …

https://www.health.ny.gov/professionals/patients/patient_rights/docs/you_and_your_health_records.htm

Yes. If access is denied, you may appeal (without charge). The provider is required to give you this form2 explaining the appeals process. If you wish to appeal, complete the attached form2and send it to the "Access to Patient Information Coordinator" in the New York State Department of Health at the address below. … See more

https://www.health.ny.gov/forms/doh-5032.pdf

Authorization for Release of Health Information (Including alcohol/drug treatment and mental health information) and confidential hiv/aids related information Author: New …

Health Information (Medical Records) - NYC Health

https://www.nychealthandhospitals.org/medical-records/

ACCESSING HEALTH INFORMATION. You have a right to request your health information related to care you received at any of our facilities under Federal and New York State …

NYS Release of Medical Records - Bronx New York

https://www.mhhc.org/documents/NYS-Release-of-Medical-Records.pdf

AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA [This form has been approved by the New York State Department of Health) Patient …