WebWe do not fax health records (except for Immunization records). To request a copy of your health record, submit your signed Health Record Release form: by email to [email protected] , or by fax to 609-258-1355. Disclosure of HIV-related information, is controlled by New Jersey law, N.J.S.A. 26:5C. WebMedical Records Department. Penn State Health Rehabilitation Hospital. 1135 Old West Chocolate Avenue. Hummelstown, PA 17036. For your convenience, a PDF copy of the …
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WebDescription. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in … WebMedical Records Department. Penn State Health Rehabilitation Hospital. 1135 Old West Chocolate Avenue. Hummelstown, PA 17036. For your convenience, a PDF copy of the forms are available below. Patient Access and Authorization form – English. Patient Access and Authorization form – Spanish. NOTE: In accordance with state law, a fee may be ... cooley method
Daniel Wilson - Medical Records Clerk - Penn Medicine, University …
WebUPMC Children's Hospital of Pittsburgh uses the Pennsylvania State Department of Health Charges for Medical Records fee schedule. A completed and signed Authorization for Release of Protected Health Information form can be sent to our Health Information Management Department as follows: Fax: 412-692-6068. E-mail: [email protected]. WebAddress: 3400 Spruce Street Philadelphia, PA 19104. Get Directions. Phone 215-662-4000. The Hospital of the University of Pennsylvania's world … WebContact Medical Records and the Referral Office. If you are looking for your pet's medical records, contact Medical Records: Phone: 215-898-5558; Fax: 215-573-3925; Email: … cooley mesa