Box 61558 367 South Gulph Road King of Prussia, PA 19406 (610) 768-3300 Management Subsidiary UHS of Delaware, Inc. Please see Medical Record Release Fees below. If copies are for a patient's personal use, for an insurance company or for legal purposes, a fee will be charged. Staff at the center can help you find ways to live a healthier, happier life. Request of records for more than one encounter will require 7 business days to process. 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 Then when you take it to the pharmacy, you can double check the information on the label. You invite and allow visitors to your site to keep your information private. Also list your medication and food allergies, and any over-the-counter medications, vitamins, nutritional supplements or herbal products that you take regularly. Norwich, NY 13815 Our social work team assists patients and families in coping with the stresses that accompany illness and hospitalization. Welcome, students! Call 859-323-5117 for more information. Remember...medication error prevention is a shared responsibility. Don't store medication in the bathroom medicine cabinet or in direct sunlight. REVIEW CURRENT ELIGIBILITY REQUIREMENTS >. We want this to be as convenient as possible. 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. Persons sixteen years of age or older may document their consent to donate their organs, eyes and/or tissues, upon their death, by enrolling in the NYS Donate Life Registry or by documenting their authorization for organ and/or tissue donation in writing in a number of ways (such as a health care proxy, will, donor card, or other signed paper). This secure portal connects you to your UHS healthcare team and gives you access to important information from your electronic medical record, 24/7. 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. All rights reserved. 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. Any additional pages must be requested through our Medical Records Department at the Robert B. Report any perceived or identified safety issues related to your care or physical environment to your physician(s) or other healthcare provider. Authorize those family members and other adults who will be given priority to visit consistent with your ability to receive visitors. You have the right to review your medical record and to obtain a copy. In deciding whether or not to participate, you have the right to a full explanation. You have to ask your pharmacists, doctors, and nurses about your medications, and you have to expect answers. At your request, your medical records will be released to any doctor free of charge. A standard fee of $1.00 per page will be charged for additional copies. Make a list of medications you are taking now. UHS can release your medical records to you or another person or entity. Tell your doctor you want the purpose for the medi-cation written on the prescription. University Health Services. At your request, your medical records will be released to any doctor free of charge. Do not let anyone give you medications without checking your name band. If you have questions about accessing your medical records, please contact our Health Information Management Office: UHS Release of  Information Dept. Receive treatment without discrimination as to race, color, religion, sex, gender identity, national origin, disability, sexual orientation, source of payment, or age. Receive complete information about your diagnosis, treatment and prognosis. Wireless access is free and no passwords are required, but users must provide their own wireless devices. The first copy of your records is free. UHS Health Records 2222 Bancroft Way Berkeley, CA 94720-4300. Federal law prohibits United Health Services from including the television and telephone charges in your daily room rate. No more than $10 in cash to purchase magazines, etc. Box 7339 Austin, TX 78713 ; To Request Your Medical Records. Attention: Release of Information Privacy while in the hospital and confidentiality of all information and records regarding your care. Report perceived risks in your care and unexpected changes in your condition to your physician(s) or other healthcare providers. You and your nurse will discuss your departure time. Receive all the information that you need to give informed consent for any proposed procedure or treatment. If you choose to use the telephone, a small daily charge will apply. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. Refuse to take part in research. If we send you a pre-payment form, please mail your pre-payment to: University Health  Be considerate of the rights of other patients and hospital personnel, and assist in the control of noise, smoking and the number of visitors. Participate in all decisions about your treatment and discharge from the hospital. These are the stories of UHS patients and their experiences receiving coordinated care from UHS's network of healthcare providers and specialists. Hours are now Wednesday and Thursday: 2:30 p.m. to 7:00 p.m. 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. Keep appointments, and when you are unable to do so for any reason, notify the responsible physician or the hospital. One charge covers use of both the television and telephone. Users are asked to be courteous to other patients and visitors by keeping the volume of their device muted or by using headphones. A major hospital chain has been hit by what appears to be one of the largest medical cyberattacks in United States history. 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. It’s as easy as a phone call, a fax or a visit to our Medical Records Department. Student Vaccine Exemption Other medications either won’t be effective or could make you sick. Hours: Our hours have changed due to COVID-19. UHS will provide an interpreter for any patient or family who doesn’t speak English. Please visit the center website for directions and parking information, as well as details on how to prepare for your surgery. Release of medical records requires a signature. They may not know about medications that another doctor has prescribed for you. To use the portal, you will need an account, which requires your UHS medical record … Medical Information Forms. 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. 607-337-4244, UHS Delaware Valley Hospital Mail your HIPAA Compliant Authorization form to: University Health  General information lines are listed below: Your confidentiality is our priority. You are welcome to request copies of your medical records at any time. If you bring your medications to the hospital, send them home with your family once the nursing staff has seen them. Copies of your medical records can be provided to healthcare professionals for continuing care. Medical Records Department/MS-26-2 50¢ per page up to 100 pages; 25¢ per page beyond 100 pages. The hospital charges a fee of 75¢ per page for copies. If you plan to visit UHS in person, or if you recently visited: Follow instructions printed for you at check-out. Please call the site you are requesting records from for further details on submitting the form. Make known your wishes in regard to anatomical gifts. Complete the form and mail it to your previous health care provider. Some long acting medications are absorbed too quickly when chewed. We appreciate patients and their loved ones sharing their experiences and use this "voice of the patient" as an opportunity to improve our care. UHS keeps your medical records confidential, however they're readily available when you need to share information with your health care team. If you would like a copy of your protected health information, our Medical Records Department can help. 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. We are located on the Robert B. Any time that your medications change, update your list too. Share your CaringBridge website with your friends and family. UHS keeps your medical records confidential, however they're readily available when you need to share information with your health care team. A standard fee of $1.00 per page will be charged for additional copies. State and federal laws determine who may have access to a patient’s information. Take your medication list every time you go to the doctor’s office, especially if you have more than one doctor. After 14 days, there will be no additional charge for this service. Release of Medical Information Authorization for your health care provider to release your medical records to Harvard University Health Services. Looking for University Health System in San Antonio, TX? Please maintain these instructions and refer to them when you leave as they have important information regarding your post-hospital care. They can help explain any confusing bill or insurance questions. View a list of the hospital’s standard charges for items and services and the health plans the hospital participates with. UHS Wilson Medical Center and UHS Binghamton General Hospital. Please download and fill out any of these necessary forms to obtain your medical records. We would like to show you a description here but the site won’t allow us. 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. © 2021 University Health System. The financial advocates are experienced with most insurance coverages and options, including Medicare and Medicaid. Your doctor and your nurse will give you instructions about post-hospital care. Receive an itemized bill and explanation of all charges. 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. This service is provided by Pathway Solutions, LLC 3840 East Robinson Rd, Suite 140, Amherst, NY 14228. If you do not have this experience, our patient relations representatives and patient advocates are here to assist you. Follow hospital rules and regulations affecting patient care and conduct. UnitedHealthcare knows that our medical record requests can delay your claims processing and present an administrative burden to you. 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. Through CaringBridge you can set up a website that is your personal and private journal, guestbook and photo album. Green Campus. Pharmacies have computers to check for interactions and allergies, but when your doctor gives you samples, this important check may be missed! (607) 337-4295. Click here to download the patient rights booklet. Instructions for activating the television and making local and long-distance calls are provided in the patient handbook in your hospital room. REVIEW CURRENT ELIGIBILITY REQUIREMENTS >, Important dates (birth date, admission date, discharge date, etc.). UT does not recognize E-Signatures as valid signature for medical record releases. Patient requests for copies of medical records will be … You can also pick up this form at all University Health locations in the Medical Records Department. Our nursing staff and a care manager or social worker will assist you with discharge plans. Yes. 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. Here, the medical records of nearly 40,000 students are stored and maintained according to HIPAA/HITECH, Federal and State laws. Sometimes your health care journey will take you from the doctor’s office to a hospital or a specialty department within UHS. Challenge an unexpected bill through the Independent Dispute Resolution process. You can do this by telephone using one of the numbers listed above, or you can submit your comment online. You can also view up to 20 pages of your medical records at University Hospital. Ask your doctor to explain what is written on any prescription including the drug name and how often you should take it. For patient convenience, this office is available for immediate walk in bill payment. Some records are available online through our secure patient portal, including test results and visit summaries. Obtain medical or mental records for personal use The more information you have, the better able you are to prevent errors and take care of yourself. Please contact the UHS clinic or hospital where you would like the records to be sent. For status of medical record requests and other information, please call 210-358-3532. COVID-19 Vaccine. Please call the clinic or hospital where you received care and ask to speak with someone in the Medical Records department. We usually need 5 to 15 days to fulfill requests for medical records. 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. 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. Receive all the information you need to give informed consent for an order not to resuscitate. 607-865-2180. Know the names, positions and functions of any hospital staff involved in your care and refuse their treatment, examination or observation. UHS has medication cards that can be used to document your prescriptions and over-the-counter products. You can print a release form for transfers of records to UHS or pick up a copy of the form from Health Records. UHS will cooperate with transferring your medical records to another health care provider at your request. If you’re admitted directly from your physician’s office, please report to Admissions unless your physician directs you otherwise. 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. For United Hospital Center records and UHC Physician records after Aug 1, 2017, please use MyWVUChart For United Hospital Center records and UHC Physician records before Aug. 1, … 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 www.uhsinc.com. UHS can release your medical records to you or another person or entity. Learn what questions to ask. 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. 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 privacy is important. The hospital must provide you with a written discharge plan and written description of how you can appeal your discharge. Computer systems for Universal Health Services… 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. There is no charge for use of the telephone or television in inpatient rooms. There is no fee to have your medical or mental health records sent to another health care provider. Mail or fax the form to the UHS … That way, if anyone tells you anything different, you’ll know to ask questions, which might prevent an error. Language and Hearing Interpreter Services, New York State Department of Health’s website, A photo ID, such as a driver’s license or state ID, Your insurance/Medicare card and any required insurance forms, A list of prescription and nonprescription medications and vitamins, minerals and herbal supplements you’re taking, including the dosage and frequency; (please ask your physician beforehand if you should bring any of your medications to the hospital), Copies of any advance directives about your health care that you’ve already completed, Names and phone numbers of family members or friends to contact in an emergency, Written list of past hospitalizations, illnesses, surgeries and allergies, Personal toiletries such as shampoo, toothbrush, toothpaste, denture cream and face creams. If you have concerns regarding your discharge plans, contact your physician, nurse, case manager or social worker. Patient Financial Advocate Obtain a copy of your medical record for which the hospital can charge a reasonable fee. 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. If you are a parent or legal guardian of a minor child, in most cases you will be able to access the child’s health care information if you provide proper identification and sign a consent form. If it doesn’t look like what you usually take, ask why. The information on this website is provided as general health guidelines and may not be applicable to your particular health condition. Green campus. University Health Services ATTN: Record Release P.O. 4502 Medical Drive The attack hit UHS systems early on … Please keep a personal copy of any information you request to avoid paying for your records. Please keep a personal copy of any information you request to avoid paying for your records. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. 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. Whether you need home care services, equipment or supplies, UHS can help. Additional forms will be brought to you for your signature after you’ve been assigned a room. Medical Records Department/MS-26-2 © 2021 United Health Services. Medical Information Forms. 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. The first copy of your records is free. UMass Memorial Medical CenterHealthAlliance-Clinton Hospital Marlborough 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. If you have a question, concern or complaint about your care, please speak with your nurse or the nurse manager of the unit you’re on. If you need any of these services, please ask a staff member. Store medications in their original containers. If you would like additional information, please ask for a copy of the pamphlet “Deciding About Health Care — A Guide for Patients and Families.”. UHS may release records only as permitted by applicable state and federal law. You can make an appointment to view your medical records at no charge. Charges. Please include a daytime phone number so that the medical staff can contact you if needed. While you are in the hospital, you may not need the same medications. Many pharmacies offer services that monitor your medications. 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. UHS will process one encounter at the time of the request if asked. Patient Financial Advocates are ready to assist all patients with any financial questions and payment issues that may arise. Once you know what time you can expect to be released, please make any necessary arrangements to leave the hospital. Click here to download the patient guide for UHS Binghamton General Hospital and UHS Wilson Medical Center. UHS also teams with HealthlinkNY to make your health records more easily accessible by your health care providers. 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. We are located on the Robert B. 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. Medical Campus Holmes (East Campus) Phone: 513-556-2564 Medical Records Fax: 513-584-2222. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. Some examples would be in response to a medical emergency, under a court order, and in response to workman’s compensation claims. They feel a lot alike when you grab quickly. Under FERPA, Tennessee medical privacy laws apply to information and records UHS develops and maintains for patient diagnosis and treatment. Refuse treatment and be told what effect this may have on your health. All Rights Reserved. We help to remove obstacles to providing high-quality health care by acting as a liaison between patients and the hospital or physician practices. The first 10 pages of your medical record are free. Unfortunately, medication errors happen. Charges apply for copies of medical records. Pathway’s telephone number is 888.891.6523. Copies of your medical records are available to you upon request. Please call to confirm. To give liquid medication, use only the cup or other measuring device that came with the medication. Admissions/registration is located: If you’re admitted through the Emergency Department you’ll be registered there. 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. Identify a caregiver who will be included in your discharge planning and sharing or post-discharge care information or instruction. Information can be viewed and shared securely from any web enabled device, such as computers, laptops, tablets and smartphones. Don't keep tubes of ointments or creams next to your tube of toothpaste. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. 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. 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. Or, fill out a Medical Record Authorization form. Your whole family can benefit from these programs. What you learn will help protect you. Remind your nurse and doctor if you have allergies. Green Campus. Please share your concerns, suggestions or compliments with us. Assure that the financial obligations of your health care are fulfilled as promptly as possible. You also have the right to designate an individual to give this consent for you if you are too ill to do so. Be informed of the name and position of the doctor who will be in charge of your care in the hospital. Request Medical Records. UHS also teams with HealthlinkNY to make your health records more easily accessible by your health care providers. A fee per page will be applied to any pages after that. Note: The hospital can’t assume responsibility for valuables kept in your room or lost or broken dentures, eyeglasses, hearing aids, etc., unless the hospital is clearly responsible for the damage. A list of all UHS clinics and hospitals and their phone numbers is available online. Transfer from a UHS doctor to another UHS doctor: 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. San Antonio, TX 78229-4496. Or drop off the form at the Health Records department in the second-floor atrium of the Tang Center. Transfer to UHS: There is no fee for transferring your medical records directly to another health care provider. Include the name, dose, how often you take them, and the name of your pharmacy. Looking for University Health System in San Antonio, TX? You can also fax your request at 210-358-5936. Executive Offices. Release of Medical Information Authorization for your health care provider to release your medical records to Harvard University Health Services. Accept responsibility for your actions should you refuse treatment or do not follow your physician’s instructions. Release of Information Our staff will be happy to assist you with requests for your medical records. 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.