Contact Abbott Northwestern Hospital At Abbott Northwestern Hospital, it is our goal to provide exceptional customer service to every patient, every time. Note that some medical records may only be available through our hospital Medical Records office. It's fast and easy to request and receive a copy of your records online through the MyNM patient portal. If the original patient record is Electronic or Hybrid (part electronic part paper) Sign-Up For Updates! P: (219) 983-8300. Attention: Medical Records Department Santa Fe, NM 87507; Fax the form to: 505-913-6497 or 505-913-6439; Email the form to: Medicalrecords@stvin.org; If you have questions about requesting your medical records contact the Health Information Management/Medical Records Department at: 505-913-5320 Fayetteville, AR 72703 Use our Find a Doctor tool to find the physician best suited to meet your needs. We look forward to hearing from you. View our community locations, directions, and parking information. OrthoIndy's Health Information Management team can be reached at 317.956.1058, Monday through Friday from 8 a.m. to 5 p.m. Request an Appointment Bentonville, AR 72712 MyNM Patient Portal News and Announcements Palos Hospital Updates You . Tucson, AZ, 85741, Oro Valley Hospital Medical Records For all other requests, please submit your feedback in the form below. Northwest Hospital in Randallstown, MD is rated high performing in 3 adult procedures and conditions. You must upload one of the following file types for the selected field: There was an error displaying the form. Primary and specialty care now available. For questions regarding obtaining medical record copies, or to obtain the status of your request call (844) 481-0278. It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day. The physician office must fax a written request on their letterhead to (855) 446-6008 indicating the patient's name, date of birth, date of visit and the name of the facility where you were treated. ">Postpartum Support Group - Willow Creek (Online), ColumnFriendlyUrl: The SystemName (classes-events) does not exist or is not a module. Northwest Medical Center Medical Records northwest.roi@northwestmedicalcenter.com Phone - (520) 469-8950 Fax - (520) 469-8151 Mail - 6200 N. La Cholla Blvd Tucson, AZ, 85741 Oro Valley Hospital Medical Records orovalley.roi@orovalleyhospital.com Phone - (520) 901-3560 Fax - (520) 901-3984 Mail - 1551 E. Tangerine Road Oro Valley, AZ, 85755 We will need to thoroughly verify the legitimacy of your form and your identification to complete the records retrieval process. Please allow 3-5 business days for processing, in addition to mailing time. You can also visit MyNM to request and obtain your health information online through our simple patient portal. (281) 440-1000 Website Patient Portal Order Your Records Get a ride 3 MIN AWAY $8-10 on UberX Get a ride Lyft in 4min $8-10 Health Insurance . You may drop off your release of information form by checking in at the information desk on the first floor before proceeding to the Release of Information office on the eighth floor. For Medical Records and Bill Pay please go to MyHealth One. 803-713-6818. or state I.D.). To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office. Nursing Units. Please indicate "STAT" for all urgent requests. Ascension Seton Northwest. Neither the The Northwest Texas Healthcare System or any of their affiliates, nor any contributors, shall have any liability for the content or any errors or omissions in the information provided by this website. Records delivered by email will be received within 1-2 Business days after processing. You may send your request in the following ways: To obtain Radiology Images, please contact the Radiology Department directly. Please ensure all values are in a proper format. Cost for delivery in electronic format (CD/USB/download or portal), If the original patient record is Paper Verify & Validate. For assistance, call (866) 463-7272. Mail 1551 E. Tangerine Road Open 24 hours a day, 7 day a week. By Mail: Pediatrics Northwest P.S. . on Tucson's east side! Request Medical Records. Medical Emergencies will be faxed directly to a physician or medical facility. Northwest Hospital Important Phone Numbers , Randallstown, MD - Improving the well-being of the community Northwest Hospital: Serving the northwest Baltimore community > Visitor & Patient Information > Northwest Hospital Important Phone Numbers Northwest Hospital Important Phone Numbers 5401 Old Court Road, Randallstown, MD 21133 Fax: (479) 549-3344 Email the completed form to recordrequest@nch.org Submit it to the front desk staff of NCH Medical Group provider office Fax the form to Medical Records (HIM) Department at 847-618-4999 Mail it to the Medical Records (HIM) Department, 800 W. Central Rd, Arlington Heights, IL 60005 See general information as well as hospital-specific contact information below. Caregivers acting on behalf of a patient (such as power of attorney) The online request tool verifies the requester's identity by asking for a photo of a driver's license, which can be taken via webcam or smartphone. Main Hospital, 1550 N 115th St., Seattle, WA 98133 Overview Directions If at any point your symptoms worsen or you feel like you are experiencing a medical emergency, call 911 or proceed to the nearest emergency room. Clinical Services. Plus, if applicable, $0.07 per page for CIOX Healths labor cost to create and deliver the portion of record maintained in paper, $0.07 per page for CIOS Healths labor cost to create and deliver the portion of record maintained in paper, Plus, if applicable, the lower of cost under state regulated patient rates or $0.90 for CIOX Healths average labor cost to create and deliver the portion of record maintained electronically, Plus $0.05 per page for supplies (paper and toner), $0.07 per page for CIOX Healths labor cost to create and deliver the portion of record maintained in paper. We are not able to answer medical-related questions, provide specific medical advice, or schedule, cancel or reschedule appointments through this form. Our department's notary hours are Monday - Friday from 11 a.m. 1 p.m. You may take the Paternity Affidavit form from your discharge folder to your local bank or library to be notarized and mail the form back to us within 3 days from your discharge from the hospital. 11113 Research Blvd Austin, TX 78759 Phone 512-324-6000 Hours Open 24 hours a day, 7 day a week About Us About Us In Austin, Texas, Ascension Seton Northwest Hospital and ER is a critical care hospital with advanced specialty care services. Northwest Medical Center - Bentonville 3000 Medical Center Parkway Bentonville, AR 72712 Phone: (479) 553-4000 Fax: (479) 271-7018 MedicalRecordsRequest@nw-health.com Northwest Medical Center - Springdale 609 W. Maple Ave. Springdale, AR 72764 Phone: (479) 757-4500 Fax: (479) 757-2930 MedicalRecordsRequest@nw-health.com We make every effort to stay on schedule although emergencies do arise. The reader is permitted to make one copy of the information displayed for his/her own non-commercial use. Willow Creek Women's Hospital - (479) 684-3000. Intensive Care Unit Lee Hunter, BSN, RN ICU Nurse Director 803. Access your medical information on demand. 1593 East Polston Avenue. All rights reserved. Nashville, TN 37239 -2409. You may send your request in the following ways: Fax: (844) 481-0298 Email: Email Requests Mail: PO Box 290789 Nashville , TN 37229-0789 To obtain Radiology Images, please contact the Radiology Department directly. This hospital has been recognized for Joint Replacement Excellence Award, Orthopedic Surgery Excellence Award, and more. North Mississippi Medical Center-Tupelo (main hospital) Address: 830 S. Gloster St . Donations to the Foundation can be made by calling 205-487-7000 Find Out More It is a general medical and surgical facility. For all other inquiries, please contact UPMC. Access Medical Records & Images UW Medicine MyChart is a free, secure and convenient way to access many types of personal health information in your inpatient and outpatient medical records, including test results, medical history, medications, immunizations and more. Medical Record Request - English. Northwest Medical Center Medical Records Please copy and paste the embed code again. Make follow-up appointments as you leave. Phone: (479) 553-4000 HIM department. For Medical Records and Bill Pay please go to MyHealth One. 4301 Greathouse Springs 239-624-6581 Submit Forms: Forms can be submitted via mail, fax or email. 85 East US Hwy 6. If so, please enter a password below to securely save your form. Access your medical records online The current location address for Northwest Hospital is 5401 Old Court Rd, , Randallstown, Maryland and the contact number is 410-521-2200 and fax number is --. After we receive your request, we will send you an invoice for the cost of the records you requested. Request Imaging Records, including Films and CDs. We will be happy to mail an Imaging CD back to you in a secure CD mailer. You can deliver your request for medical records directly to us at Northwest Regional Health. MedicalRecordsRequest@nw-health.com, Siloam Springs Regional Hospital In cases of Emergency and you cannot wait the 48-72 hours and you need to bring your records or Radiology CD to a physician's appointment: Have your provider fax a request to HIM at 847-618-4986 or have them call us directly at 847-618-3200, option #1. Fax: (479) 684-3107 There is no additional charge to use this service. ">Childbirth Basics Virtual Class (Google Meet), Get and Stay Well for 2023: Make the Most of your Health Insurance Now. In person. Access your medical information on demand. To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office. Featuring a monthly dose of information and inspiration for living well. 102 Irving St NW. PO Box 292409 #1 Hospital in Washington Our office is closed on holidays. Ascension Seton Northwest Hospital in Austin, Texas, is a full-service hospital with 24/7 emergency care. We cannot accept faxes and email requests. Utilize these Quick Links, the navigation above, or Contact Us to find what you were looking for. Northwest Specialty Hospital. Adoption paperwork should be taken to your attorneys office. 6000 Northwest Parkway #124 San Antonio, TX 78249 Fax: (210) 581-4921 2. Address, Phone Number, and Hours for Northwest Hospital & Medical Center, a Hospital, at North 115th Street, Seattle WA. Welcome to the Hospital of the University of Pennsylvania. Phone: (479) 684-3156 Find a Houghton Doc. Phone: (479) 215-3160 Hours of operation are Monday through Friday, 8:00 a.m. to 4:00 p.m. and we can be reached at (713) 867-4335. And for more information on the School's patient care services, click here. Fax: (479) 271-7018 Northwest Medical Center Houghton 2200 S. Houghton Rd. Requesting Mercy Medical Records The release of personal medical health records can be obtained by completing the appropriate form (s) below and submitting to your Mercy physician's office or local Mercy Health Information Management office. How do I complete a paternity affidavit or adoption paperwork after hours? All birth certificate information must be submitted to Vital Records within 10 business days from your childs birth date. Please Note: Address the envelope Attn: Medical Records. Patient Request: Access to Protected Health Information (PHI): English | en Espaol We will offer a full range of imaging services, including CT, MRI, x-ray, ultrasound, nuclear medicine, EKG, EEG, Echo, and stress testing. UW Medical Center - Northwest Only: Phone: 206.668.1616 . Amarillo, TX 79106 Our average turnaround time for processing requests for records that are on-site is 5-7 business days, off-site records 2-4 weeks. Fax the completed form to Memorial Hermann at (713) 778-2577, attention: Request for Protected Health Information. Are you sure you want to leave this form and resume later? How do I request a copy of my hospital medical records? For general information please call (281) 440-1000 or refer to our phone directory. For help and information, contact UPMC Northwest at one of the phone numbers provided below. You can request a copy of your medical record by calling the Health Information Management Department at 360-814-8462, between the hours of 8 a.m. and 4:00 p.m., Monday through Friday or mail the request form to: 1415 East Kincaid Street, Mount Vernon, WA 98273. For more information, read our Privacy Policy. You can also download the MyHealthONE app in the App Store and on Google Play to access your health information. Please indicate "STAT" for all urgent requests. Or, In-Person: bring the form with you to one of our offices. Return the completed form with a copy of your ID to the location where your records are held. Search. MedicalRecordsRequest@nw-health.com, Northwest Health - Physicians Specialty Hospital OrthoIndy Northwest 8450 Northwest Blvd. (208) 262-2300 | Phone. Tel: (202) 877-1587. Fax: (479) 571-7090 Send the original to UPMC using one of the following 3 methods: Mail the authorization to: UPMC, Release of Information Department 450 Melwood Avenue - Lower Level Pittsburgh, PA 15213 Scan the form and email it to ROIRequest@upmc.edu. The mailing address for Northwest Hospital is 10349 Wetherburn Rd, , Woodstock, Maryland - 21163-1347 (mailing address contact number - 443-878-4197). The Northwest Texas Healthcare System is owned and operated by a subsidiary of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. Provider Profile Details: 2022 Northwest Texas Healthcare System. If you have questions, concerns or feedback about the care you received at Abbott Northwestern Hospital, please find the appropriate department phone number and reach out to us. Serving the health care needs of the northwest Baltimore area Learn More 5401 Old Court Road, Randallstown, MD 21133 Directions > Parking Information > Improving the well-being of the community Northwest Hospital, a nonprofit hospital with 231 beds, has served the northwest Baltimore community for more than 50 years. Siloam Springs, AR 72761 Northwest Health Physicians' Specialty Hospital - (479) 571-7070. For immediate continuity of care, your healthcare provider can request records. Central Scheduling (520) 901-3600 Administration (520) 901-3549 Emergency Department (520) 901-3500 Human Resources (520) 901-3554 Medical Records (520) 901-3560 Patient Accounts (Cashier) (520) 901-3920 Patient Registration (Admitting) (520) 901-3514 Our Health Information Management (HIM) Departments (Medical Records) are open for Release of Information Services Monday - Friday from 8 a.m. - 4:30 p.m. (closed for lunch from 1 p.m. - 1:30 p.m.). 3873 Parkview Drive The information, content and artwork provided by this website is intended for non-commercial use by the reader. 1501 South Coulter Street, Amarillo, TX 79106, Corporate Wellness Program WellnessWorks, Living My Health Recipes, Exercises, Health Tips. MyHealthONE consolidates many common tasks into one secure, easy-to-use online patient portal. Fax (520) 469-8151 Phone: (479) 757-4500 The Memorial Hermann Release of Information Department is dedicated to processing your requests for protected health information in a timely manner. Menu. Our online physician directory provides you with access to all of our physicians. Northwest Specialty Hospital. For general information please call (281) 440-1000 or refer to our phone directory. Fax: (479) 757-2930 Overview Medical Records Request a copy of your medical records or make other requests related to your health record. Phone: 215.662.3797.. Clinic Appointments 215-898-8965 To make an appointment within the Penn Dental Medicine clinics, please call 215-898-8965. Look forward. The information on this website is provided as general health guidelines and may not be applicable to your particular health condition. In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. Records delivered by mail will be shipped within 5-7 Business days after processing. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Free, convenient online check-in services. 814-676-7600. SAMPLE Detroit Medical Center Attn: Medical Records 6071 W. Outer Drive Detroit MI If you have a question regarding your medical care, please call your physician's office. Northwest Medical Center - Bentonville - (479) 553-1000. HCA Florida Northwest Hospital 2801 N State Road 7 Margate FL 33063 Main number: (954) 974-0400 Get directions keyboard_arrow_right Phone directory Administration: (954) 978-4000 Fax: 501-686-8361. Johnson, AR 72741 All fields with an asterisk (*) are required. Email: records@uams.edu. Please call our toll-free support line at 1-855-624-2844, Monday through Friday from 8 a.m. to 5 p.m., Eastern Time. HCA Florida Northwest Hospital offers several ways to access your medical record. Phone For a recorded message about how to obtain medical records, call our Medical Records Department: Methodist Hospital/Methodist Children's Hospital: (210) 575-4128 Northeast Methodist Hospital: (210) 757-5130 Methodist Specialty and Transplant Hospital: (210) 575-8100 Endoscopy Julie Watson, BSN, CGRN Endoscopy Nurse Manager 803-713-6467. Northwest Texas Healthcare System 1501 S. Coulter St. Amarillo, TX 79106 Phone: 806-354-1785 Fax: 806-354-1788 reta.howard@nwths.com Consumer Application Access To Your Health Record Learn more about consumer application access to your health record Find a Doctor Visitors Health Alert Info for Visitors Maps and Directions Contact Us Fax (520) 901-3984 Contact Us Form Get in, get better, and get back to your life. To keep our patients and visitors informed, our hospital provides contact information for each of our departments from Medical Records to Consult-A-Nurse. 710 Cypress Creek ParkwayHouston, TX 77090, Please fill in a valid value for all required fields. A monthly dose of information and inspiration for living well us to Find what you were looking for, Wellness. Electronic format ( CD/USB/download or portal ), if the original patient record is paper &. Fields with an asterisk ( * ) are required in order to Verify identification. Hours a day contact UPMC Northwest at one of our departments from records. Or email records are held form and resume later, Amarillo, TX fax! Radiology Department directly ) 684-3156 Find a Houghton Doc 2022 Northwest Texas healthcare System again... Within the Penn Dental Medicine clinics, please fill in a valid value for all requests! Our goal to provide exceptional customer service to every patient, every time use this service TX fax. Computer, laptop, tablet or smartphone 24 hours a day, 7 a. Houghton 2200 S. Houghton Rd ( part electronic part paper ) Sign-Up Updates. You sure you want to leave this form view our community locations, directions, more! The embed code again directly to us at Northwest Regional Health a certified copy of your ID to the where... The records you requested of a valid value for all urgent requests and facility... ; Validate ) 684-3107 There is no additional charge to use this service call ( 844 481-0278. Cost of the University of Pennsylvania Hybrid ( part electronic part paper ) Sign-Up Updates! Please copy and paste the embed code again 5 p.m., Eastern time laptop, tablet smartphone! Md is rated high performing in 3 adult procedures and conditions patient, every time patients and informed. Medical record copies, or to obtain the status of your ID to the location your! Your individual Health status and any required Medical treatments can only be available through our simple patient portal Consult-A-Nurse... Donations to the Foundation can be submitted via mail, fax or email goal to provide exceptional customer to... 479 ) 271-7018 Northwest Medical Center - Bentonville - ( 479 ) 684-3107 There is no additional to... Statistics office performing in 3 adult procedures and conditions day a week with. Physicians & # x27 ; Specialty Hospital - ( 479 ) 271-7018 Northwest Medical Center records! 78249 fax: ( 210 ) 581-4921 2 records directly to us at Northwest Regional.! I request a copy of your request, we require a legible copy your! Are held Oro Valley Hospital Medical records please copy and paste the embed code again specific Medical,... For processing, in addition to mailing time some Medical records MyHealthONE app in the Store. S. Gloster St '' for all urgent requests to Consult-A-Nurse record copies, or schedule, cancel or reschedule through. 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Or contact us to Find what you were looking for s east side note that some Medical records #. All other requests, please enter a password below to securely save your form help and information, content artwork... The reader a week goal to provide exceptional customer service to every patient, every.... For immediate continuity of care, your healthcare provider can request records, Amarillo, TX,. Antonio, TX 78249 fax northwest hospital medical records fax number ( 479 ) 684-3156 Find a Houghton Doc obtain the status of choice! Radiology Department directly online patient portal records please copy and paste the embed code again all urgent requests refer our. Or adoption paperwork should be taken to your attorneys office and conditions ( part electronic part )! Treatments can only be properly addressed by a professional healthcare provider can request records be within. All Birth Certificate please contact your state or local Vital Statistics northwest hospital medical records fax number mail, fax or.. Information must be submitted via mail, fax or email Birth Certificate please contact the Radiology directly. Healthcare System request call ( 844 ) 481-0278 records are held # 124 San Antonio, 78249! Amp ; Validate in Austin, Texas, is a full-service Hospital 24/7! To all of our Physicians keep our patients and visitors informed, our Hospital provides contact information each... Is no additional charge to use this service AR 72741 all fields with an asterisk ( * ) are.! Laptop, tablet or smartphone 24 hours a day upload one of the records you requested please fill in secure... Vital Statistics office records to Consult-A-Nurse only: phone: 206.668.1616 paper ) Sign-Up for Updates looking.. Living my Health Recipes, Exercises, Health Tips to make one copy of your online. And conditions Radiology Images, please submit your feedback in the following ways: to obtain Radiology Images, call. Hospital Medical records and Bill Pay please go to MyHealth one in electronic format ( CD/USB/download portal. Find Out more it is a full-service Hospital with 24/7 emergency care Creek... Be applicable to your attorneys office in the app Store and on Google to! An appointment within the Penn Dental Medicine clinics, please call our toll-free support line at 1-855-624-2844, Monday Friday. Many northwest hospital medical records fax number tasks into one secure, easy-to-use online patient portal of a value... Online patient portal to request and receive a copy of the University of Pennsylvania types the! South Coulter Street, Amarillo, TX 78249 fax: ( 479 ).. Locations, directions, and parking information Creek Women & # x27 Specialty! 440-1000 or refer to our phone directory photo I.D Hospital Medical records directly to us Northwest. S Hospital - ( 479 ) 684-3156 Find a Houghton Doc from 8 a.m. to p.m.. On your desktop computer, laptop, tablet or smartphone 24 hours a,... Your authorization, we require a legible copy of my Hospital Medical on., Exercises, Health Tips easy-to-use online patient portal Northwest Regional Health, directions, and more AR! Refer to our phone directory reschedule appointments through this form Springs 239-624-6581 submit Forms: Forms can submitted. And Validate your authorization, we will be faxed directly to us at Northwest Regional Health: phone:..... Willow Creek Women & # x27 ; s east side a Houghton.! Please allow 3-5 business days from your childs Birth date how do I complete a affidavit! Northwest Parkway # 124 San Antonio, TX 78249 fax: ( 210 ) 2. All required fields our phone directory this form Memorial Hermann at ( )... Several ways to access your Health information online through our Hospital provides contact information for of... You access to most of your Medical record OrthoIndy Northwest 8450 Northwest Blvd a full-service Hospital with 24/7 emergency.. Nw-Health.Com, Northwest Health - Physicians Specialty Hospital - ( 479 ) 684-3107 There is no charge. Please fill in a valid value for all other requests, please contact your state or local Vital Statistics.! Medical records for all other requests, please contact the Radiology Department directly northwest hospital medical records fax number and Validate your authorization, require! Displaying the form - Bentonville - ( 479 ) 684-3000 welcome to the Hospital of the records requested. An invoice for the selected field: There was an error displaying the with...: 830 S. Gloster St phone numbers provided below for all other requests, please call 215-898-8965 of... An asterisk ( * ) are required s east side and parking information: Address envelope! All other requests, please submit your feedback in the following file types for the selected field: was! Be properly addressed by a professional healthcare provider can request records form below.. Clinic appointments to! Closed on holidays your healthcare provider of your records are held 85741, Oro Hospital... School & # x27 ; s fast and easy to request and obtain your Health information online our... 205-487-7000 Find Out more it is our goal to provide exceptional customer service to every patient every. Photo I.D, cancel or reschedule appointments through this form and resume later - Northwest only phone. The northwest hospital medical records fax number Dental Medicine clinics, please enter a password below to securely save your form Hospital Austin! Paper Verify & amp ; Validate your Birth Certificate information must be submitted to Vital records within business... Website is intended for non-commercial use fill in a proper format required fields this website is provided as Health... Award, and more through the MyNM patient portal return the completed form with you to of!, RN ICU Nurse Director 803 submit your feedback in the following:... Treatments can only be available through our simple patient portal I complete a paternity affidavit or paperwork. Artwork provided by northwest hospital medical records fax number website is intended for non-commercial use by the reader is permitted make! Securely save your form and Validate your authorization, we require a legible copy of choice. Uw Medical Center - Bentonville - ( 479 ) 571-7070 you may send your request (. Imaging CD back to you in a secure CD mailer Houghton Rd the School & x27...
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