WebAll requests for copies of medical records must be received in writing. If the patient is a minor (less than 18 years of age), a parent or legal guardian must sign the authorization. Patient care requests may be faxed to (319) 398-6848. Print a copy of the Release of Health Information Authorization form(PDF format). WebMedical Records can be obtained after regular business hours for emergency patients. If you require copies of any portion of your medical record, we recommend calling 24-hours in advance; this increases to a 7-day advanced notice for records dating back three or more years (these records are archived and require additional time to access).

Franklin Memorial Hospital - MedicalRecords.com

WebNorthern Maine Medical Center. Health Information Department. 194 East Main Street. Fort Kent, Maine 04743. FAX: 207-834-2311. For questions or assistance in completing the authorization form, call 207-834-1464. Web7 nov. 2024 · Get your records by mail or fax. To request a copy of your VA medical records by mail or fax, send a signed and completed VA Form 10-5345a to our Release … teacher swagat

Medical Records Request Spectrum Orthopaedics

WebIf a minor patient consented to his/her own care, the minor patient must sign this authorization form to release records related to that care. Indicate relationship of representative to patient. WebYou may request a free copy of this form at any MHC location in Maine. You must have a valid signature and may not have signed with a parent, guardian or spouse. The following information is necessary to get a copy of the form. . . . Name and Address of patient, . . Medical Facility name, . . Address of medical facility, . . WebTo share your concerns with Northern Light Eastern Maine Medical Center, please contact Northern Light Eastern Maine Medical Center Patient Experience and Relations by … teacher swag