1/17/2024 0 Comments Find my medical records number![]() Q: How do I get medical records from the former United Hospital?Ī: They were taken over by Newark Beth Israel Medical Center.The Health Information Management (Medical Records) department is only able to provide copies of records. ![]() Will Medical Records complete this for me?Ī: No, these forms must be completed by a doctor. Q: I need a physician statement form to be completed for insurance or for a social security/disability claim.Q: I sent in A Power of Attorney document, why can’t I receive records?Ī: The Power of attorney has to indicate that the person is appointed to obtain medical records and manage health issues, not just personal finances.Q: How do I get a copy of an administrator/executor or surrogate letter?.Q: Does University Hospital accept requests over the fax, or send medical records via fax?Ī: Yes, but this is limited to only doctors or other hospitals in an emergency for continuing care.Q: How long will it take to receive a copy of my medical record?Ī: New Jersey State law allows 30 days to respond to a request for medical records.Q: How can I get a copy of my hospital bill?Ī: The Patient Accounts Department releases hospital bills.Q: Can I request medical records by e-mail and/or receive copies via e-mail?Ī: No University Hospital needs authorization with original signature.Only the next of kin may obtain a copy of the medical record. Q: What information is required to obtain the medical record of a deceased person?Ī: A legal document stating next of kin or executor of estate is required.Otherwise, contact City Hall, Vital Statistics. Q: How can I get a copy of a death certificate?Ī: If a recent death, can be obtained from the funeral home.Q: How can I get a copy of a birth certificate?Ī: One can be obtained from the Vital Statistics Department of the city in which you were born.Q: What are the fees for obtaining a copy of a medical record?Ī: There is no charge if the copy is a personal copy of or to be mailed directly to a doctor’s office or a health care facility for continuing care. ![]() Q: Can I get a copy of my spouse, child, parent or family member’s medical record?Ī: Only if the individual gives you written authorization or if you possess Power of Attorney over healthcare with proper documentation.The HIM department does not automatically release radiology images unless specifically requested. Be specific about the information you are interested in receiving. Q: How can I get a copy of my medical record or radiology images (x-ray films)?Ī: Print the authorization form in English, Spanish, Creole or Portuguese and submit it to the Health Information Management (Medical Records) department by mail. ![]() Upon receipt, the medical record and/or radiology CD copy will be available for pick up or mailed within 30 days.įor additional information, contact the Health Information Management (Medical Records) department at 97. A copy of legal documentation must accompany the request. Signature/Date: Patient must sign and date the form unless he/she is a minor or the requestor is the authorized legal guardian, health care agent, or other personal representative. Treatment dates: Be as specific as possible regarding the date services were received by the patient. Patient name: Name used during the hospital stay/visit.ĭate of birth: To verify the accuracy of patient’s identity. To request a copy of a medical record or radiology images (x-ray films) from University Hospital’s Health Information Management (Medical Records) department, begin by printing a HIPAA-compliant authorization form – available in English, Spanish, Creole or Portuguese.Ĭomplete the entire form, taking note of the following information:
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