Adventhealth Medical Records Request Form - Please contact the health information management (him) department for your facility by calling the number listed under records request forms and contact information or by visiting the. You must still submit the appropriate authorization form, making sure to include the physician’s name, mailing address, phone number, and fax number. A form must be completed for each. To request your adventist medical group medical records, please: Download and complete our disclosure form. Mail or fax using instructions at the bottom of the form. Please contact the health information management (him) department for your facility by calling the number listed under records request forms and contact information or by visiting the. Patients can request copies of their medical records by completing our form entitled “authorization for use or disclosure of health information” and presenting valid identification. You may request a copy of your medical records by completing the authorization to release medical information form below and faxing it to our medical records department at (661) 869. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. For adventist health locations, there are three ways to request your medical records. Completion of this document authorizes the disclosure and use of health information about you. Failure to provide all information requested may invalidate this authorization. *abstract consists of facesheet, history & physical, consults, operative notes, emergency record, lab, radiology, ekg reports, pathology, physical therapy and rehab. Please contact the health information management (him) department for your facility by calling the number listed under records request forms and contact information or by visiting the. For adventist health locations, there are three ways to request your medical records. Completion of this document authorizes the disclosure and use of health information about you. Failure to provide all information requested may invalidate this authorization. *abstract consists of facesheet, history & physical, consults, operative notes, emergency record, lab, radiology, ekg reports, pathology, physical therapy and rehab. Please contact the health information management (him) department for your facility by calling the number listed under records request forms and contact information or by visiting the. If you are having difficulty accessing your records in the advent patient portal, you can also request records by filling out this form:
Please contact the health information management (him) department for your facility by calling the number listed under records request forms and contact information or by visiting the. You must still submit the appropriate authorization form, making sure to include the physician’s name, mailing address, phone number, and fax number. A form must be completed for each. To request your adventist medical group medical records, please: Download and complete our disclosure form. Mail or fax using instructions at the bottom of the form. Please contact the health information management (him) department for your facility by calling the number listed under records request forms and contact information or by visiting the. Patients can request copies of their medical records by completing our form entitled “authorization for use or disclosure of health information” and presenting valid identification. You may request a copy of your medical records by completing the authorization to release medical information form below and faxing it to our medical records department at (661) 869. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. For adventist health locations, there are three ways to request your medical records. Completion of this document authorizes the disclosure and use of health information about you. Failure to provide all information requested may invalidate this authorization. *abstract consists of facesheet, history & physical, consults, operative notes, emergency record, lab, radiology, ekg reports, pathology, physical therapy and rehab. Please contact the health information management (him) department for your facility by calling the number listed under records request forms and contact information or by visiting the.