弗雷德里克王子
网上买球软件 Medical Center
医院道100号
弗雷德里克王子, MD 20678
电话: 410.535.4000
电话: 1.888.906.8773
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In Person 医疗记录 Not Permitted At This Time
At this time, medical records can not be obtained in person. To request your records, please download the form below, then either email or fax the request form to one of the options below:
下载 then fill out electronically
医疗释放表格
电子邮件
琼.Morsell@Calverthealthmed.org
or
杰西卡.hartmann@calverthealthmed.org
传真
410.414.4666
Obtaining Your Medical Record
Maryland Law specifies that a request for any patient medical record must be in writing and must become a part of the person's medical record. The medical records department protects the confidentiality of all patient information and will only release a patient's medical record with the proper consent.
If a physician involved in your care needs a copy of your medical record, the medical records department can forward a copy to that physician with your consent. There is no fee involved and a representative of the 健康 Information Management department handles the copying of your record. These types of requests can generally be done within 48 hours.
Other requests for copies of records are handled on a case by case basis utilizing state and federal guidelines for the proper release of patient information. In some cases a fee is required for these copies. Currently, the fees for patients are a flat fee of $6.50, .76 cents per page copied plus the actual mailing costs.
If you need to obtain a copy of your medical record or need it sent to someone else, we will need your written authorization mailed/submitted to:
Correspondence Secretary
健康 Information Management Department
网上买球软件 Medical Center
医院道100号
弗雷德里克王子,马里兰州. 20678
下载
医疗释放表格
豁免表格须
Adobe Acrobat® ReaderTM
For all questions regarding correspondence call
410.535.8275 or 301.855.1012 ext.8275.
If you prefer to fax the document, the fax # is
410.414.4666.