![]() Packard Children’s has the right to charge a fee for inspection of records. Inspection of medical records must be requested in writing and is done by appointment upon approval of request. Visit Financial and Insurance Information for instructions on how to obtain copies of your bills. ![]() Medical records do not contain billing statements. Your request will be forwarded to the Radiology Film Library for processing. Please note that radiology images, telemetry tapes and photos are not part of your medical record (your official records contain the reports that interpret those images, tapes and photos). If you are not the requestor and would like someone else to pick up the records, you will need to provide a note stating ok to release records to another party along with your signature. A photo ID is required in order to pick up records. Once processed we will mail the records to the address provided or if you would like to pick up the records, we will contact you once they are ready. Please allow 5 to 15 business days for requests to be processed. Kindly call us at (650) 497-8079 and we can provide additional information and options for release of information. Our office is CLOSED for walk in service. Select “Your Menu” and then select “Request Medical Records”ģ. Complete the online form and submit to our department for processing. Follow these easy steps to request your records.Ģ. If you do not have a M圜hart account, visit and click on the "Sign Up Now" button. Here you will find more information about submitting your online request and complete the form to submit to HIMS for processing. Then Under My Records select Request Medical Records. Log on and select Your Menu located on the left hand side of the screen. Did you know you can request your records thru your M圜hart account? If you are not sure what information you need, call us at (650) 497-8079. While you may request the entire medical record, the summaries provided in the Discharge Summary, Operative Report, and History & Physical contain the most frequently requested information. If you would like to request this information please complete section B.1 with dates of service and have patient sign section I, on page 6. Providers have the right to deny release if deemed appropriate. Records will be reviewed by the provider prior to their release. Required adolescent consentĪll record requests for protected confidential and sensitive services for Adolescent patients, aged 12-17 require a signed consent from the adolescent. Indicate the type of records you need and be sure to initial requests for information regarding AIDS/HIV, Psychiatric Care, or Alcohol/Drug Abuse. Please visit the Welcome desk at either the Main or West Buildings and a team member will be happy to assist you with requesting your records.ĭownload and print the Authorization for Release of Health Information form:Īuthorization for Release of Health Information in English / Authorization for Release of Health Information Form in Spanishīe sure to provide the exact dates of treatment for which you are requesting information. In certain cases a patient's physician, psychologist or social worker may also be required to approve a request. Lucile Packard Children's Hospital is required, under the State of California's Confidentiality of Medical Information Act, to obtain an original and complete Authorization for Release of Health Information form before providing a copy of a patient's records or allowing inspection to anyone, including the patient or their representative. ![]() Requesting a copy of your medical records is easy, whether for your personal records, or to be sent to another medical facility. We provide access to clear and complete information so you can make the best possible healthcare decisions. Please call our department at (650) 497-8079 for more information and discuss options for medical records. Due to COVID-19 precautions our office is CLOSED for walk in assistance.
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