You can monitor your vital signs and use the journals to track your diet and physical activity. If the patient is a minor under thirteen (13), we will request that the minor child as well as the parent or legal guardian sign the authorization form.įor Radiology Images please click the below link. Build your Personal Health Record (PHR) by self-entering your personal information or data that you have tracked Start building your PHR by self-entering your personal information, such as your health history, emergency contacts and medications. If the patient is incapacitated, unable to sign for him or herself and there is a personal representative who is legally responsible then that individual will sign on behalf of the patient. Please note a certified copy of the death certificate will be required to verify that patient is deceased. Request medication refills and view your current and past medications including dosage, prescription dates, remaining refills, and prescriber information. If the patient is deceased, please contact the Information Access Unit at 63 or 63. How do I obtain copies of my medical records? How do I complete the Release of Information form? specific as possible with what information you would like from your medical record. Autorización para divulgar Información sobre salud (incluida información sobre tratamientos por alcoholismo/drogas y relacionados con la salud mental) e información confidencial relacionada con VIH/SIDA Make a health information data request, as defined in the Cures Act.
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