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Medical Records | Stanford Health Care

    https://stanfordhealthcare.org/for-patients-visitors/medical-records.html
    A patient, or his/her legal representative, may inspect and/or obtain a copy of their medical records, or have copies of medical records sent to another facility. Stanford Health …

AUTHORIZATION FOR USE OR DISCLOSURE OF …

    https://stanfordhealthcare.org/content/dam/SHC/patientsandvisitors/your-hospital-stay/docs/15-79-1-authorization-combined-shc-uha-vc-disclosure-of-information-english.pdf
    If you have questions about this authorization form or the release of your health information, pleasecontact the Stanford Health Care HIMS Department at 650-723-5721, Stanford …

AUTHORIZATION FOR USE OR DISCLOSURE OF …

    https://stanfordhealthcare.org/content/dam/SHC/patientsandvisitors/your-hospital-stay/docs/authorization-disclosure-form.pdf
    contact the Stanford Health Care HIMS Department at 650-723-5721 or University Healthcare Alliance (UHA) HIMS Department at 510-731-2676, before signing this form. …

Medical Records | Stanford Health Care - ValleyCare

    https://stanfordhealthcare.org/tri-valley/patients-and-visitors/medical-records.html
    When you have a baby at Stanford Health Care Tri-Valley, you are asked to complete a form that is sent by Medical Records to Alameda County. The county forwards appropriate …

Medical Record Release from Stanford University …

    https://ehs.stanford.edu/forms-tools/medical-record-release-from-stanford-university-occupational-health-center-suohc
    The employee must give approval before confidential medical information is disclosed or requested. Exceptions include: An emergency medical condition. When …

Medical Records Release, Privacy Rights, and Patient …

    https://vaden.stanford.edu/home/about-vaden-health-services/medical-records-release-privacy-rights-and-patient-rights-and
    grant permission to Vaden to release your records to an outside provider or agency. request a copy of your records for yourself. Submit the appropriate, completed form by …

Medical Records - Stanford Medicine …

    https://www.stanfordchildrens.org/en/patient-family-resources/medical-records
    If you do not have a MyChart account, visit mychart.stanfordchildrens.org and click on the "Sign Up Now" button. Follow these easy steps to request your records. 1. Log on to your …

Authorization for Release of Medical Records

    https://web.stanford.edu/~mvperez/FAAF%20Forms/Authorization%20for%20Release%20of%20Medical%20Records%20-%20Saved.doc
    Stanford, CA 94305 Voice Phone: 650-498-7519 FAX: 650-736-2322 I request that the following information be released at your earliest convenience: Clinic Notes Dischage …

Forms | Pediatric Primary Care | Stanford Medicine

    https://med.stanford.edu/ppc/patient_care/Forms.html
    Forms | Pediatric Primary Care | Stanford Medicine Forms Encounter forms Well child Other encounters Referrals and Faxing Referral forms & related resources Fax cover …

AUTHORIZATION for RELEASE of INFORMATION

    https://med.stanford.edu/content/dam/sm/irt/documents/web/HIPAA_consent.doc
    Following the expiration of this authorization, no further use or disclosure of your health information, photographs, audio, video or film recordings will be made by Stanford …



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