WebThis release of information becomes invalid on the patient's 18th birthday. Fax this form to (269) 387-4494, Attn: Medical Records; Or, mail it to: Medical Records Sindecuse Health Center Western Michigan University 1903 W Michigan Ave Kalamazoo MI 49008-5445. Or, bring the signed authorization and a picture ID to Sindecuse Health Center. WebMichigan Confidentiality Laws Michigan Confidentiality/Minor Consent Laws PARENT/GUARDIAN CONSENT EXCEPTIONS A parent or legal guardian must provide consent on behalf of a minor (under age 18) before health care ... patient, for a compelling medical reason For educational purposes only.
Unified Clinics Release of Information from Medical Records
WebUnified Clinics Medical Records 1000 Oakland Dr 3rd Floor Kalamazoo MI 49008 USA. Your request will be processed and fulfilled within 10 working days. We will either mail records … WebTrinity Health Michigan is the new name of a system that has been serving West and Southeast Michigan for decades. Learn about our providers and services. ... Our Medical Records Department maintains the confidentiality of the records of thousands of patients. You can request a copy of your medical records here. inheritance\u0027s 8b
Medical Records Sindecuse Health Center - Western Michigan University
WebRELEASE RECORDS TO: ... _____ Specifically my entire medical record including, Substance Abuse, Mental Health, HIV related testing; _____ Specifically my entire medical record excluding, Substance Abuse, Mental Health, ... I understand that in compliance with the State of Michigan laws pertaining to record copies, I may be charged a reasonable ... WebAgencies Requesting Medical/Dental Records/Dental Films for Identification Purposes: A written request on the requesting agency's letterhead must be submitted to: Duane Waters Health Center. 3857 Cooper Street Jackson, MI 49201. Fax (517) 780-5724. Obtaining Medical Records for Incarcerated Prisoners: Medical records are kept at the prisoner's ... WebMedical Records Questions may be directed to the Release of Information Unit at 734-936-5490 What's in my medical records? What is the Personal Health Record? Can I have copies of my medical records? Requests for Radiology Exams on CD (CT, MRI, PET, X-ray, etc.) Can my doctor outside of U of M access my records? Sensitive Information mlay rf user manual