Patients may come to University Health Services (UHS) Tuesday through Thursday from 9:00 am – 12:00 pm with valid picture ID to submit a request for personal medical records. This information shall include the possible risks and benefits of the procedure or treatment. I hereby authorize University Health System to disclose my Protected Health Information to the following Designee: ... psychiatric records, alcohol and/or drug abuse records, HIV/AIDS information, genetic testing, and/or sexually transmitted disease information. We employ a team of knowledgeable and compassionate clinicians and support staff who are able to diagnose and treat routine illnesses and preexisting medical conditions. Whether you need home care services, equipment or supplies, UHS can help. The financial advocates are experienced with most insurance coverages and options, including Medicare and Medicaid. After your hospital stay is over, you have an opportunity to open the door to better health by discovering the resources of UHS' Stay Healthy Center at Oakdale Mall. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. Read the label every time you take a dose to make sure you have the right medication and that you are following the instructions. When you get ready to go home, have the doctor or nurse go over each medication with you and a family member. Remember...medication error prevention is a shared responsibility. Do not let anyone give you medications without checking your name band. 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. University Health Services does not charge fees for copies of medical records being released to health care facilities for continued treatment, to insurance companies for settlement of a claim, or for copies of immunization records. UHS Health Records 2222 Bancroft Way Berkeley, CA 94720-4300. You can make an appointment to view your medical records at no charge. Call 859-323-5117 for more information. The hospital must provide you with the State Health Department telephone number. Participate in decisions regarding your medical care, including the planning and implementation of your plan of care. Under the Health Insurance Portability and Accountability Act (HIPAA) of 1996, you have the right to access, inspect and/or obtain a copy of your protected health information (PHI), including: If you would like a copy of your protected health information, our Medical Records Department can help. The privacy of health care information/medical records for university students that are maintained by University Health Services (UHS) is protected by a federal law, the Family Educational Rights and Privacy Act (FERPA) and several state laws. 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. Welcome, students! If you would like additional information, please ask for a copy of the pamphlet “Deciding About Health Care — A Guide for Patients and Families.”. 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. Any time that your medications change, update your list too. We are available Monday through Friday, 8 a.m. to 5 p.m. You can also view up to 20 pages of your medical records at University Hospital. Charges apply for copies of medical records. A major hospital chain has been hit by what appears to be one of the largest medical cyberattacks in United States history. Medical Records Department/MS-26-2 Federal law prohibits United Health Services from including the television and telephone charges in your daily room rate. 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. We want this to be as convenient as possible. A standard fee of $1.00 per page will be charged for additional copies. Obtain a copy of your medical record for which the hospital can charge a reasonable fee. UHS will process one encounter at the time of the request if asked. Mixing prescription medications with an undesirable substance, such as used coffee grounds or kitty litter, and putting them in containers such as empty cans, or sealable bags will further ensure the medications are not diverted. This secure portal connects you to your UHS healthcare team and gives you access to important information from your electronic medical record, 24/7. 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. You and your nurse will discuss your departure time. The UHS staff will be happy to assist you. Universal Health Services, one of the largest healthcare providers in the U.S., has been hit by a ransomware attack. Your whole family can benefit from these programs. Refuse to take part in research. Pharmacies have computers to check for interactions and allergies, but when your doctor gives you samples, this important check may be missed! With this information in place, your pharmacist can help protect you against harmful drug interactions, duplicate medications, and other potential problems. Once you know what time you can expect to be released, please make any necessary arrangements to leave the hospital. No more than $10 in cash to purchase magazines, etc. Our social work team assists patients and families in coping with the stresses that accompany illness and hospitalization. You are welcome to request copies of your medical records at any time. The exception to this statement is that the health records of dependents who are enrolled in the Student Health Plan are subject to HIPAA. REVIEW CURRENT ELIGIBILITY REQUIREMENTS >. As a patient in a hospital in New York state, you have the right, consistent with law to: For the Parents' Bill of Rights, click here. You may also request a copy of a birth certificate by following these instructions. My medical record is your personal health record (PHR) provided by University Hospital Southampton. Attention: Release of Information Here, the medical records of nearly 40,000 students are stored and maintained according to HIPAA/HITECH, Federal and State laws. We are located on the Robert B. If we send you a pre-payment form, please mail your pre-payment to: University Health  Partners Trust Bank has an ATM inside the cafeteria at. To give liquid medication, use only the cup or other measuring device that came with the medication. We would like to show you a description here but the site won’t allow us. Norwich, NY 13815 Release of Information Our staff will be happy to assist you with requests for your medical records. San Antonio, TX 78229-4496. There is no cost to send copies of medical records directly to a non-UHS healthcare provider. Patient requests for copies of medical records will be … Find out all you can about your conditions and the medication(s) you are taking — including over-the-counter medications. Our clinicians provide treatment for a wide array of health concerns that most commonly include: Receive an itemized bill and explanation of all charges. Please send you requests for records with a HIPAA Compliant Authorization form. Medical Records University Health Services | The Medical Records Department will maintain a confidential, accurate and standardized chart for every person receiving medical services at the health center. Please send all requests for records with a physically signed authorization form. Keep appointments, and when you are unable to do so for any reason, notify the responsible physician or the hospital. Share your CaringBridge website with your friends and family. Include the name, dose, how often you take them, and the name of your pharmacy. Identify a caregiver who will be included in your discharge planning and sharing or post-discharge care information or instruction. Hours: Our hours have changed due to COVID-19. 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. Authorization for Release of Behavioral Health Records, Authorization for Release of Behavioral Health Records (Español), Authorization to Access Inspect and or Obtain a Copy of Protected Health, Authorization to Access Inspect and or Obtain a Copy of Protected Health (Español), Request for Amendment of Protected Health Information, Request for Amendment of Protected Health Information (Español), Request for an Accounting of Disclosures (Español), Revocation of Authorization for Release of Protected Health Information, Revocation of Authorization for Release of Protected Health Information (Español). Release of Medical Information Authorization for your health care provider to release your medical records to Harvard University Health Services. You can also view up to 20 pages of your medical records at University Hospital. Some long acting medications are absorbed too quickly when chewed. Transfer to UHS: If you would like to see or receive a copy of your medical records at University Health, we are committed to completing your request in a timely manner. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. Student Vaccine Exemption Free and secure access to your UHS healthcare team and services. The attack hit UHS systems early on … Learn what questions to ask. Green Campus. You can also pick up this form at all University Health locations in the Medical Records Department. If you have concerns regarding your discharge plans, contact your physician, nurse, case manager or social worker. The physical record is the property of UHS. Medical Records Department/MS-26-2 Please contact the UHS clinic or hospital where you would like the records to be sent. Complete the form and mail it to your previous health care provider. At your request, your medical records will be released to any doctor free of charge. When you come to the hospital, bring a list of the medications, nutritional supplements, vitamins, over-the-counter medications and herbal medications you are taking at home. A fee per page will be applied to any pages after that. All rights reserved. Look at all medications before you take them. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. You also have the right to designate an individual to give this consent for you if you are too ill to do so. There is no charge for use of the telephone or television in inpatient rooms. Medical Campus Holmes (East Campus) Phone: 513-556-2564 Medical Records Fax: 513-584-2222. Don't keep tubes of ointments or creams next to your tube of toothpaste. Student medical services are confidential. It’s a secure, patient-owned record that can: Support you to … Many pharmacies offer services that monitor your medications. There is no fee for transferring your medical records directly to another health care provider. If you’re admitted directly from your physician’s office, please report to Admissions unless your physician directs you otherwise. Receive all the information that you need to give informed consent for any proposed procedure or treatment. UHS will cooperate with transferring your medical records to another health care provider at your request. Please contact the clinic or hospital where you received care and ask to speak with the Medical Records department. Mail or fax the form to the UHS … We maintain records in order to provide effective services to our patients. Looking for University Health System in San Antonio, TX? Complain without fear of reprisals about the care and services you are receiving and to have the hospital respond to you and if you request it, a written response. Some examples would be in response to a medical emergency, under a court order, and in response to workman’s compensation claims. Receive all the information you need to give informed consent for an order not to resuscitate. You have to ask your pharmacists, doctors, and nurses about your medications, and you have to expect answers. Please call the site you are requesting records from for further details on submitting the form. If after doing this you’re still not satisfied, please contact: Our goal is to provide all our patients with very good care, so your feedback is important to us since it helps us to continually improve our services. UT does not recognize E-Signatures as valid signature for medical record releases. While you are in the hospital, you may not need the same medications. If you bring your medications to the hospital, send them home with your family once the nursing staff has seen them. Transfer from a UHS doctor to another UHS doctor: Project HEAR (home emergency alarm response) provides emergency help with the touch of a button, 24 hours a day, seven days a week through your home telephone. 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. Don’t chew, crush or break capsules or tablets unless instructed. Receive considerate and respectful care in a clean and safe environment free of unnecessary restraints. CMH Patient Financial Advocates also help patients make arrangements to secure interest free loans or to make other arrangements so they are able to receive essential health services. Mail your HIPAA Compliant Authorization form to: University Health  Assure that the financial obligations of your health care are fulfilled as promptly as possible. Also list your medication and food allergies, and any over-the-counter medications, vitamins, nutritional supplements or herbal products that you take regularly. If you have a medical concern, call us at 412-268-2157, option 2, to discuss your needs. Click here to download the patient rights booklet. We help to remove obstacles to providing high-quality health care by acting as a liaison between patients and the hospital or physician practices. 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. 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. Access Your Immunization Records If you have a Patient Portal account, and have submitted all of your immunizations to UHS, you can access and print your immunization records on the Patient Portal. Instructions for activating the television and making local and long-distance calls are provided in the patient handbook in your hospital room. If for any reason you do not understand or you need help, the hospital MUST provide assistance, including an interpreter. Federal law prohibits UHS from including the television and telephone charges in your daily room rate. They happen in hospitals, in pharmacies,or even at home. Many drug names look alike when written poorly; knowing the purpose helps you and the pharmacist double check the pre-scription. Request Medical Records. The information contained in your medical records belongs to you, and you are entitled to access that information. 179 North Broad Street This service is provided by Pathway Solutions, LLC 3840 East Robinson Rd, Suite 140, Amherst, NY 14228. Be respectful of your personal property and that of other persons and of the hospital. Unfortunately, medication errors happen. Or fax to: (510) 642-1801. It’s as easy as a phone call, a fax or a visit to our Medical Records Department. Make known your wishes in regard to anatomical gifts. UHS will provide an interpreter for any patient or family who doesn’t speak English. Release of medical records requires a signature. Take your medication list every time you go to the doctor’s office, especially if you have more than one doctor. To receive a copy of your medical records from University Health Services, please fill out the Medical Records Release Form (PDF). To obtain copies of your medical records, please contact the clinic or hospital where you received care and ask to speak with the Medical Records department. 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. You may also review the Patient Bill of Rights on the New York State Department of Health’s website, which provides versions in several languages. Obtain medical or mental records for personal use Box 7339 Austin, TX 78713 ; To Request Your Medical Records. 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. Remind your nurse and doctor if you have allergies. 50¢ per page up to 100 pages; 25¢ per page beyond 100 pages. Pathway’s telephone number is 888.891.6523. Please maintain these instructions and refer to them when you leave as they have important information regarding your post-hospital care. You can also fax your request at 210-358-5936. South Texas Health System is owned and operated by a subsidiary of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.. Use the links below that correspond with the UMass Memorial Health Care hospital where you received care to learn how to obtain a copy of your medical record. Patient Financial Advocate 607-865-2180. Wilson Medical Center Patient Relations Office: Binghamton General Hospital Patient Relations Office: Chenango Memorial Hospital Patient Advocate Office: Delaware Valley Hospital Quality Improvement Office. Make a list of medications you are taking now. The health care proxy is available from the hospital. 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. State and federal laws determine who may have access to a patient’s information. Tell your doctor you want the purpose for the medi-cation written on the prescription. 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 (WMH, BGH, and physician practices) 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. This helps prevent you from getting someone else’s medications. Please share your concerns, suggestions or compliments with us. Please include a daytime phone number so that the medical staff can contact you if needed. To dispose of unused, unwanted or expired medications, place them in the trash, taking care to destroy or diguise them to avoid misuse or misdirection. Patient Financial Advocates are ready to assist all patients with any financial questions and payment issues that may arise. Challenge an unexpected bill through the Independent Dispute Resolution process. This free and easy to use service helps to connect you to family and friends during a health crisis or long-term hospital stay. UHS keeps your medical records confidential, however they're readily available when you need to share information with your health care team. You can print a release form for transfers of records to UHS or pick up a copy of the form from Health Records. Medical Records The Medical Records office is located on the fifth floor of University Health Services. The more information you have, the better able you are to prevent errors and take care of yourself. You’ll receive written discharge instructions prior to leaving the hospital. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. Follow hospital rules and regulations affecting patient care and conduct. 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. That way, if anyone tells you anything different, you’ll know to ask questions, which might prevent an error. 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**. Universal Corporate Center P.O. Ask to speak with the Medical Records department. Participate in all decisions about your treatment and discharge from the hospital. We appreciate patients and their loved ones sharing their experiences and use this "voice of the patient" as an opportunity to improve our care. Call 859-323-5117 for more information. Pathway’s telephone number is 888-891-6523. UHS medical and mental health records are protected by federal law. 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. Each clinic, hospital and specialty department maintains confidential medical records of its patients. The first 10 pages of your medical record are free. Ask questions when you do not understand what you have been told about your care or what you are expected to do regarding care. After discharge, the above charges will appear directly on your home telephone bill as “Hosp Tel Chg.” VISA, MasterCard and Discover are also accepted. Receive treatment without discrimination as to race, color, religion, sex, gender identity, national origin, disability, sexual orientation, source of payment, or age. If you are not satisfied with the hospital’s response, you can complain to the New York State Health Department. Assistive devices, such as walkers, crutches, canes, hearing aids or magnifying glasses labeled clearly with your name, If you wish, you may bring a cell phone, but please review the rules for using cell phones at UHS hospitals (in the tab below), If you wish, you may bring battery-operated items such as razors or radios; please review the information below about bringing small appliances to a UHS hospital, Maternity patients: bring suitable clothing for taking your infant home, Valuables such as cash, jewelry, credit cards and checkbooks. We are available Monday through Friday, 8 a.m. to 5 p.m. These charts will be protected from loss, alteration, destruction and … 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. UHS Wilson Medical Center and UHS Binghamton General Hospital. Looking for University Health System in San Antonio, TX? UHS keeps your medical records confidential, however they're readily available when you need to share information with your health care team. When you buy over-the-counter medications, read the label carefully, because the medication may contain ingredients you do not want or should not take. University Health Services ATTN: Record Release P.O. Or drop off the form at the Health Records department in the second-floor atrium of the Tang Center. The hospital charges a fee of 75¢ per page for copies. COVID-19 Vaccine. Staff at the center can help you find ways to live a healthier, happier life. 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. Keep medications separate from pets’ medications or household chemicals. Yes. Click here to download the patient guide for UHS Binghamton General Hospital and UHS Wilson Medical Center. While cell phones are permitted in all our hospitals, their use is limited as follows: In any UHS facility, please keep the ringer volume of the phone turned low. They feel a lot alike when you grab quickly. They can help explain any confusing bill or insurance questions. Medical records must be completed by all physicians involved in the patient’s care prior to being copied and released to the patient. Information can be viewed and shared securely from any web enabled device, such as computers, laptops, tablets and smartphones. Please keep a personal copy of any information you request to avoid paying for your records. Accept responsibility for your actions should you refuse treatment or do not follow your physician’s instructions. 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. Users are asked to be courteous to other patients and visitors by keeping the volume of their device muted or by using headphones. Your doctor and your nurse will give you instructions about post-hospital care. For status of medical record requests and other information, please call 210-358-3532. Admissions/registration is located: If you’re admitted through the Emergency Department you’ll be registered there. United Health Services, Inc. and the members of the UHS System neither are affiliated with, sponsored, endorsed nor approved by, nor otherwise associated with, Universal Health Services, Inc. (NYSE: UHS), UHS of Delaware, Inc. nor their affiliates, which can be found at The hospital must provide you with a written discharge plan and written description of how you can appeal your discharge. Medical Information Forms. Any additional pages must be requested through our Medical Records Department at the Robert B. To use the portal, you will need an account, which requires your UHS medical record … 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. At Admissions, you’ll be asked to complete and sign forms that permit us to care for you, to bill your insurance carrier on your behalf, and to release (or not) information about your admission. Wilson Place is located at 52 Harrison Street in Johnson City, across from Wilson Medical Center. UHS Chenango Memorial Hospital and UHS Delaware Valley Hospital allow inpatients to bring small electrical appliances with them to their inpatient room. Know the names, positions and functions of any hospital staff involved in your care and refuse their treatment, examination or observation. If your doctor gives you samples, make sure that he/ she checks to be sure there are no interactions with your other medications. Then when you take it to the pharmacy, you can double check the information on the label. 4502 Medical Drive If you plan to visit UHS in person, or if you recently visited: Follow instructions printed for you at check-out. You privacy is important. Report any perceived or identified safety issues related to your care or physical environment to your physician(s) or other healthcare provider. Copies of your medical records can be provided to healthcare professionals for continuing care. 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. REVIEW CURRENT ELIGIBILITY REQUIREMENTS >, Important dates (birth date, admission date, discharge date, etc.). © 2021 University Health System. At your request, your medical records will be released to any doctor free of charge. Don't store medication in the bathroom medicine cabinet or in direct sunlight. After discharge, the above charges will appear directly on your home telephone bill as “Hosp Tel Chg.” VISA, MasterCard and Discover are also accepted. You must be registered as a patient in the UHS electronic health record (MiChart) in order to create a portal account. (Note that records prior to August 2012 are NOT in the portal.) UHS offers high-quality care for all students. You have the right to review your medical record and to obtain a copy. Legal representatives can also gain access to patients' records. Social workers provide psychological and social assessments and counseling, and coordinate referrals for post-discharge follow-up, nursing home placement, home care nursing, delivery of home medical equipment and end of life care. Make it known whether you clearly understand a contemplated course of action and what is expected of you. We operate UHS Home Care PHC (call 607.763.5600) and UHS Home Care TTHH (607.763.8946). A standard fee of $1.00 per page will be charged for additional copies.

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