For physician office records, please contact the office. Office Phone: 314-273-0453 Fax: 844.868.1435 • The revocation will not apply to information already released in response to this authorization. University Hospital 1350 Walton Way Augusta, GA 30901 Attn: Medical Records (Health Information Services) You also can fax your completed form to 706-774-8737. Washington University partners with CIOX Health, the nation’s largest provider of release of medical information services, to process and fulfill your request for a copy of your medical record. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report), UW Medical Center - Montlake is one of the world's foremost academic health centers, delivering exceptional, multidisciplinary care to a vast array of patients who come to us from across the globe. All patient health care information at MedStar Washington Hospital Center is confidential. Medical records will often be transferred to another provider at no cost but in some instances there will be fees to cover the cost of providing copies. Therefore, medical records cannot be released to any person without the authorization of the patient or the patient's legally authorized representative (unless authorized by law). If this is a medical emergency please call 911. 4240 Duncan Ave., Suite 301 . Washington University Health Information—Release Services . Request Your Medical Records Free of Charge via MyPortfolio. Download and print the Authorization to Release and Disclose Patient Information form. As the No. According to the Washington Administrative Code (WAC 246-08-400), hospitals may charge $1.12 for the first 30 pages and $0.84 for additional pages. Medical Records for UW Hospital and Clinics or UW Medical Foundation (608) 263-6030. A member of the HIM staff will be able to assist you Hospital Medical Records To obtain a copy of your medical records from a University Hospitals inpatient facility or outpatient facility, please contact the facility. If you have questions, please call Island Hospital Medical Records at (360) 299-1326. Medical Imaging for UW Health (608) 265-7118. Medical records can be collected in paper form or electronically, whichever you prefer. Obtaining Copies of Your Medical Records. Continuity of Care: information needed for hospital or physician visits will be sent directly to the healthcare provider requesting copies of the information. Your mail will not be answered by a clinician and any medical related content will be discarded and not replied to. Request Records Online. There is a three-step process for requesting copies of your medical records from IU Health. Obtaining Copies of Your Medical Imaging We may charge a reasonable fee for copying of requested health information. If you need a copy of a medical record from UW Medical Center, Harborview Medical Center, or the Neighborhood Clinics, please visit their website or contact Release of Information directly at 206-744-9000 or fax 206-744-9997. If you have any questions or would like a Release of Medical Information form sent to you, please call 706-774-5861. You can now request your medical records for your personal use from any UMMS hospital using the MyPortfolio patient portal. After entering a few key pieces of information, your records can be released to you through MyPortfolio at no charge. Medical Records Please be aware that we are NOT the office that releases medical records. Submitting a Written Authorization Requests for the release of medical records must be submitted in writing through the… Click here to view the fees charged for this service. This number includes Washington State sales tax of 8.5%. Campus Box 1219 . 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