Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. Keep appointments, and when you are unable to do so for any reason, notify the responsible physician or the hospital. If you’re having ambulatory surgery at Chenango Memorial Hospital or Delaware Valley Hospital, you should report to the hospital’s Admissions/Registration office at the time your physician instructs you to. Patient Financial Advocates are ready to assist all patients with any financial questions and payment issues that may arise. The first copy of your records is free. If you’re admitted to the hospital by your physician, you’ll receive a phone call to let you know when the hospital can admit you. Assure that the financial obligations of your health care are fulfilled as promptly as possible. Receive considerate and respectful care in a clean and safe environment free of unnecessary restraints. For status of medical record requests and other information, please call 210-358-3532. Medical Information Forms. In addition to your rights as a patient, you also have responsibility to: Here at UHS, we want our patients to feel safe, respected, listened to and cared for in a way that fosters confidence and trust in UHS. Take your medication list every time you go to the doctor’s office, especially if you have more than one doctor. Please visit the center website for directions and parking information, as well as details on how to prepare for your surgery. UHS Wilson Medical Center Patient Relations Office: 607-763-6777: UHS Binghamton General Hospital Patient Relations Office: 607-762-2777: UHS Chenango Memorial Hospital Patient Advocate Office: 607-337-4522: UHS Delaware Valley Hospital Quality Improvement Office: 607-865-2130 If you plan to visit UHS in person, or if you recently visited: Follow instructions printed for you at check-out. If you have questions about your health insurance or your hospital bill, a Patient Financial Advocate will be happy to answer your questions by telephone, or if you request it, will come to your room while you’re still in the hospital. The hospital must provide you with a written discharge plan and written description of how you can appeal your discharge. Store medications in their original containers. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. You privacy is important. Wilson Medical Center Patient Relations Office: Binghamton General Hospital Patient Relations Office: Chenango Memorial Hospital Patient Advocate Office: Delaware Valley Hospital Quality Improvement Office. Visit the link to pay your UHS bill online, by phone or by mail. REVIEW CURRENT ELIGIBILITY REQUIREMENTS >. Once you know what time you can expect to be released, please make any necessary arrangements to leave the hospital. You and your nurse will discuss your departure time. To receive a copy of your medical records from University Health Services, please fill out the Medical Records Release Form (PDF). (WMH, BGH, and physician practices) The attack hit UHS systems early on … University Health Services is an all-inclusive health care service at University Park offering medical, pharmacy, lab, imaging, physical therapy, medical records, insurance, and emergency services in one convenient on-campus location. Then when you take it to the pharmacy, you can double check the information on the label. The information on this website is provided as general health guidelines and may not be applicable to your particular health condition. Ask to speak with the Medical Records department. If you would like a copy of your protected health information, our Medical Records Department can help. Green Campus. Remember...medication error prevention is a shared responsibility. Don't keep tubes of ointments or creams next to your tube of toothpaste. Refuse treatment and be told what effect this may have on your health. Mail your HIPAA Compliant Authorization form to: University Health  You can make an appointment to view your medical records at no charge. UHS may release records only as permitted by applicable state and federal law. Information can be viewed and shared securely from any web enabled device, such as computers, laptops, tablets and smartphones. If you wish to receive a paper copy of your records for your own use, you may be charged a fee for processing the request. Release of Information Our staff will be happy to assist you with requests for your medical records. Learn what questions to ask. We are located on the Robert B. Create your account within 30 days after receiving instructions. If you are currently seeing an UHS doctor and he/she refers you to another UHS doctor, your doctor’s office will transfer the necessary records for you. The UHS staff will be happy to assist you. Please contact the clinic or hospital where you received care and ask to speak with the Medical Records department. General information lines are listed below: Your confidentiality is our priority. UHS Chenango Memorial Hospital and UHS Delaware Valley Hospital allow inpatients to bring small electrical appliances with them to their inpatient room. Request Medical Records. There is no cost to send copies of medical records directly to a non-UHS healthcare provider. If you’re having ambulatory surgery at the new Ambulatory Surgery Center at Wilson Place, you should report there at the time your physician instructs you to. My medical record stores and displays the personal and medical information held in your personal health record, some of which will be loaded from hospital systems. Box 61558 367 South Gulph Road King of Prussia, PA 19406 (610) 768-3300 Management Subsidiary UHS of Delaware, Inc. We want this to be as convenient as possible. You cannot be denied a copy solely because you cannot afford to pay. You can talk directly to a registered nurse by calling Nurse Direct, 8:30 a.m. to 6:30 p.m., seven days a week. When you get ready to go home, have the doctor or nurse go over each medication with you and a family member. UHS also teams with HealthlinkNY to make your health records more easily accessible by your health care providers. The information contained in your medical records belongs to you, and you are entitled to access that information. While you are in the hospital, you may not need the same medications. In accordance with Indiana state and federal laws governing privacy, University Health Services (UHS) will not share a student’s information outside of the health care community without a student’s express permission. The hospital charges a fee of 75¢ per page for copies. After 14 days, there will be no additional charge for this service. Medical records which includes notes, details of visits and doctors opinions Images which includes things like x rays and scans This information is kept on two different systems so you will need to be clear what type of information you would like and make the request to the appropriate team. We operate UHS Home Care PHC (call 607.763.5600) and UHS Home Care TTHH (607.763.8946). COVID-19 Vaccine. Follow your treatment plan established by the practitioner primarily responsible for your care. Television and Telephone: Inpatient rooms at all four UHS Hospitals are equipped with televisions and telephones; details about each appear below. Many pharmacies offer services that monitor your medications. Health Records When you arrive at UC Berkeley, you may wish to have your health records transferred to the Tang Center from your previous health care provider. That way, if anyone tells you anything different, you’ll know to ask questions, which might prevent an error. However, FERPA makes medical records that a student authorizes to have released to campus entities outside UHS for non-treatment purposes become the responsibility of the recipient/s. Dear AUB Student, All new students* are required to submit a complete medical record form online, including vaccination records, to the University Health Services (UHS). Your pharmacist can be your partner in preventing medication errors. Receive complete information about your diagnosis, treatment and prognosis. Green campus. If you’re admitted directly from your physician’s office, please report to Admissions unless your physician directs you otherwise. Please see Medical Record Release Fees below. Charges. This service is provided by Pathway Solutions, LLC 3840 East Robinson Rd, Suite 140, Amherst, NY 14228. However, patients at UHS Delaware Valley Hospital must have these items inspected by a staff member prior to their use; please speak with your nurse. Be informed of the name and position of the doctor who will be in charge of your care in the hospital. By implementing several changes that help to streamline medical record collection without disrupting your time, we aim to process your claims faster and improve your care provider experience. A fee per page will be applied to any pages after that. However, while you enjoy television programming or use your patient phone in any of our facilities, please respect the rights of others and keep the volume low. The UHS Medical Records staff can answer any questions you might have regarding access to family members' information. You can print a release form for transfers of records to UHS or pick up a copy of the form from Health Records. UHS can release your medical records to you or another person or entity. Please contact the UHS clinic or hospital where you would like the records to be sent. If copies are for a patient's personal use, for an insurance company or for legal purposes, a fee will be charged. UHS will process one encounter at the time of the request if asked. Medical Campus Holmes (East Campus) Phone: 513-556-2564 Medical Records Fax: 513-584-2222. Provide, to the best of your knowledge, accurate and complete information concerning present complaints, past illnesses, hospitalizations, medications and other matters relating to your health. Your UHS medical record is strictly confidential. Expect answers...it’s your life and your health! Do not hesitate to stop in or call on our financial advocates. If you have questions about accessing your medical records, please contact our Health Information Management Office: UHS Release of  Information Dept. It’s a secure, patient-owned record that can: Support you to … State and federal laws determine who may have access to a patient’s information. To use the portal, you will need an account, which requires your UHS medical record … NO PHOTOGRAPHS OR VIDEO MAY BE TAKEN of any patient or staff member without his or her explicit permission. These plans start with information collected on admission and are evaluated for you by nursing staff, your physician and case manager or social worker throughout your hospital stay. You are welcome to request copies of your medical records at any time. Box 7339 Austin, TX 78713 ; To Request Your Medical Records. Welcome, students! For inpatient stays of more than 24 hours, a $7 daily fee will be charged for days 1 through 14 of a patient’s stay. Universal Health Services, Inc. (UHS) is one of the largest and most respected providers of hospital and healthcare services in the nation with more than 90,000 employees dedicated to improving people’s lives and transforming the delivery of healthcare. Your doctors, nurses and pharmacists work hard to keep you healthy, but you are also responsible. You invite and allow visitors to your site to keep your information private. Tell your doctor you want to know the names of the medications you will be receiving while in the hospi-tal and the reason you are taking them. A list of all UHS clinics and hospitals and their phone numbers is available online. Federal law prohibits United Health Services from including the television and telephone charges in your daily room rate. Online submission of the medical record: Please DOWNLOAD the Entrance Student Medical Record Form ; The form should be completed by your personal physician or a physician at the Family Medicine clinics**. At this time, we are offering many of our services remotely, including telehealth appointments.. They will be happy to assist you with the process for transferring records to a specific doctor’s office. If your doctor gives you samples, make sure that he/ she checks to be sure there are no interactions with your other medications. This free and easy to use service helps to connect you to family and friends during a health crisis or long-term hospital stay. Our nursing staff and a care manager or social worker will assist you with discharge plans. Free and secure access to your UHS healthcare team and services. If it doesn’t look like what you usually take, ask why. UHS keeps your medical records confidential, however they're readily available when you need to share information with your health care team. Medical Records The Medical Records office is located on the fifth floor of University Health Services. 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