- PEDIATRIC MEDICAL RECORDS ACCESS PLUS
- PEDIATRIC MEDICAL RECORDS ACCESS FREE
Lucile Packard Children's Hospital is required, under the State of California's Confidentiality of Medical Information Act, to obtain an original and complete Authorization for Release of Health Information form before providing a copy of a patient's records or allowing inspection to anyone, including the patient or their representative. Requesting a copy of your medical records is easy, whether for your personal records, or to be sent to another medical facility. We provide access to clear and complete information so you can make the best possible healthcare decisions. Please call our department at (650) 497-8079 for more information and discuss options for medical records. Already have an account? Log in here.Due to COVID-19 precautions our office is CLOSED for walk in assistance. To set up your M圜HOP account, contact your doctor's office and request a M圜HOP access code. Please note: The portal only provides access to portions of the electronic medical record, it is not an all-inclusive medical record. With a M圜HOP account you can view: test results, immunizations, visit and admission summaries, appointment information, medications, notes as well as a patient’s medical history.
PEDIATRIC MEDICAL RECORDS ACCESS FREE
The information you are requesting may be available free of charge through CHOP’s patient portal, M圜HOP.
PEDIATRIC MEDICAL RECORDS ACCESS PLUS
$2.51/page Microfilm copies plus actual postage. There may be a fee for providing copies of the medical record: If you have any questions please contact via email for fastest response.t Medical Record Copy Fees If the patient is 14 years old or over, the patient will need to sign and initial the authorization. Under section 3, you must initial next to mental health or your request will not be fulfilled. Form must include patient’s name, date of birth, and home address. In order to complete your request for mental health records, the form will need to be completed in its entirety, please remember the following: To request information about inpatient or outpatient mental health records, please send the form to: To request information about X-rays or other radiological images, including CT scans, MRIs and ultrasounds (radiological images are released on CD), send the form to: To request information about services provided at Primary Care Centers, send the form to the Primary Care Center where service was provided. To request information about services provided at Specialty Care Centers, send the form to the Specialty Care Center where service was provided. *If a test was ordered by a physician who is not affiliated with Children's Hospital, please contact that physician directly. To request information about outpatient services (i.e., doctor visits, blood tests) provided at the Philadelphia or King of Prussia Hospital Campus,* send the form to the department where service was provided or call 21 to reach the appropriate department. Outpatient services provided at Urgent Care Center, Same Day Surgery, Children’s Seashore House (i.e., occupational or physical therapy, speech, rehabilitation) send the form to:. Inpatient services provided at the Philadelphia or King of Prussia Hospital Campus or Children's Seashore House, including Emergency Department visits and stays lasting 23 hours or longer or. Send the completed form to Health Information Management (HIM) for the inpatient and outpatient services below: If you pick up a copy of the medical record in person, we will ask for photo identification. This may result in a delay in fulfilling your request. If you wish to make your request in-person or pick-up your records in-person, please call ahead to the department so that appropriate arrangements can be made for a safe visit. As soon as we can complete your request, it will be provided or sent.Īuthorization to Release/Obtain Patient Information (PDF)Īutorizaci ón para obtención/divulgación de información sobre el paciente (PDF) - Spanish Due to the large volume of requests and compliance regulations, production or copies of medical records are not immediately available. To request a copy of your/your child's medical record complete a request form and send it by email or fax to the number below.
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