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Valley Medical Center | Medical Records

    https://www.valleymed.org/patients--visitors/resources-to-manage-your-health/medical-records
    ATTENTION: HIM Release of Information (ROI) is NOT on-site at the main hospital. Please use the contact information below to reach ROI by phone, email, fax or mail. ...

UH0626 Patient Authorization to Disclose, Release and/or …

    https://www.valleymed.org/globalassets/valley-medical/media/files/global/96-23371.6-auth-to-release-phi---fillable.pdf
    Harborview Medical Center and Clinics Valley Medical Center and Clinics UW Medical Center and Clinics – Montlake . Mail: Release of Information . UW Medical Center and …

Requesting Medical Records - Santa Clara Valley …

    https://www.scvmc.org/patients-visitors/services/requesting-medical-records
    MAIL OR IN PERSON. Santa Clara Valley Medical Center. Health Information Management Department. Release of Information. 751 S. Bascom Ave., Room 1C037. …

Health Information Management | Medical …

    https://www.valleyhealth.com/patients-visitors/health-information-management
    Valley Medical Group – 201-270-5733. Copies of medical records and diagnostic images can be requested after your discharge from The Valley Hospital through our Health …

Medical Records | West Valley - West Valley Medical …

    https://westvalleymedctr.com/patients/medical-records.dot
    Authorization for Release of Medical Information – Spanish. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo …

Obtaining Medical Records | Valley Health System, Las …

    https://www.valleyhealthsystemlv.com/patients-services/medical-records-request
    Valley Hospital Medical Center. Health Information Management Department 620 Shadow Lane Las Vegas, NV 89106 Phone: 702-388-4580 Fax: 702-388-4752 Email: …

Medical Records | Hackensack Meridian Health

    https://www.hackensackmeridianhealth.org/en/Patients-and-Visitors/Medical-Records
    To request access to or copies of your medical records or our authorization to release information form, please call one of the following telephone numbers: Bayshore Medical …

Medical Records Information | Valley Health

    https://www.valleyhealthlink.com/patients-visitors/for-patients/medical-records/
    To request medical records be emailed, faxed or mailed: Contact your local medical records office by phone: Hampshire Memorial Hospital: 304-822-4923. Page …

Medical Records - Lehigh Valley Health …

    https://www.lvhn.org/patients-and-visitors/medical-records
    Lehigh Valley Health Network works with a release of information vendor, MRO, to coordinate providing copies of medical records to patients and authorized …

Forms | SVMHS - Salinas Valley Memorial Healthcare …

    https://www.svmh.com/patients-visitors/for-patients/forms/
    Authorization for Use or Disclosure of Medical Information Form. Print the authorization form. Fill in all the information. Sign and date the form. Make a readable copy of Driver's …



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