OBTAINING COPIES OF YOUR MEDICAL RECORD All copies for hospital based services must be obtained through the Medical Records Department of Community Medical Center. If your request includes film or billing, the medical record staff will assist in arrangement for these copies. If your request is for physician office records please contact the physician’s office. HIPAA requires a signed and dated authorization. You must indicate on your authorization what dates of service you are requesting. Medical Records staff can assist you with this. The process of looking up your medical records and processing them does take time. It may take up to 30 days to process your request. It may take longer to process microfilm requests. We are allowed to charge a cost-based fee. This fee is currently at $0.39 for each page of a photocopied record. We are also allowed to charge an administrative fee to help cover the cost of paper, cost of copy machine maintenance, toner and cost of labor and benefits. If you prefer to view your records, an appointment can be made. Viewing is free of charge. We are happy to assist you in determining if you will need the entire medical record copies. By limiting your copies, we can help you lower your copy fee. Our Release of Information Division will process your request. This area is under contract with IOD Inc., which is a professional photocopy service for healthcare institutions. Release Of Information Copy Service: Phone: 327-4155 Monday Friday 7:30 a.m. 4:00 p.m. – – Fax: 327-4510 Identification is required at the time of pickup of medical records. No exceptions. Effective Date: 04/10/2015
OBTAINING COPIES OF YOUR MEDICAL RECORD All copies for hospital based services must be obtained through the Medical Records Department of Community Medical Center. If your request includes film or billing, the medical record staff will assist in arrangement for these copies. If your request is for physician office records please contact the physician’s office. HIPAA requires a signed and dated authorization. You must indicate on your authorization what dates of service you are requesting. Medical Records staff can assist you with this. The process of looking up your medical records and processing them does take time. It may take up to 30 days to process your request. It may take longer to process microfilm requests. We are allowed to charge a cost-based fee. This fee is currently at $0.39 for each page of a photocopied record. We are also allowed to charge an administrative fee to help cover the cost of paper, cost of copy machine maintenance, toner and cost of labor and benefits. If you prefer to view your records, an appointment can be made. Viewing is free of charge. We are happy to assist you in determining if you will need the entire medical record copies. By limiting your copies, we can help you lower your copy fee. Our Release of Information Division will process your request. This area is under contract with IOD Inc., which is a professional photocopy service for healthcare institutions. Release Of Information Copy Service: Phone: 327-4155 Monday – Friday 7:30 a.m. – 4:00 p.m. Fax: 327-4510 Identification is required at the time of pickup of medical records. No exceptions. Effective Date: 04/10/2015
OBTAINING_COPIES_OF_YOUR_MEDICAL_RECORD.4.10.15.docx