Please send you requests for records with a HIPAA Compliant Authorization form. Your UHS medical record is strictly confidential. 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. Medical Information Forms. 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. Be informed of the name and position of the doctor who will be in charge of your care in the hospital. UHS medical and mental health records are protected by federal law. Please share your concerns, suggestions or compliments with us. We usually need 5 to 15 days to fulfill requests for medical records. Understand and use these rights. Free and secure access to your UHS healthcare team and services. To give liquid medication, use only the cup or other measuring device that came with the medication. The information contained in your medical records belongs to you, and you are entitled to access that information. Release of Information Our staff will be happy to assist you with requests for your medical records. When you get ready to go home, have the doctor or nurse go over each medication with you and a family member. Sometimes your health care journey will take you from the doctor’s office to a hospital or a specialty department within UHS. There is no charge for use of the telephone or television in inpatient rooms. Call 859-323-5117 for more information. They feel a lot alike when you grab quickly. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. View a list of the hospital’s standard charges for items and services and the health plans the hospital participates with. Please keep a personal copy of any information you request to avoid paying for your records. 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. We are located on the Robert B. Please call the site you are requesting records from for further details on submitting the form. Identify a caregiver who will be included in your discharge planning and sharing or post-discharge care information or instruction. 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. 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. Remember...medication error prevention is a shared responsibility. 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. We maintain records in order to provide effective services to our patients. Wireless access is free and no passwords are required, but users must provide their own wireless devices. © 2021 United Health Services. 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. 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 patient financial advocate’s office is located in the hospital’s main lobby and is open from 7:30 a.m. – 12:30 p.m. and 1:30p p.m. – 4:30 p.m. Charges. 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**. UHS can release your medical records to you or another person or entity. Please see Medical Record Release Fees below. Medical records must be completed by all physicians involved in the patient’s care prior to being copied and released to the patient. Participate in decisions regarding your medical care, including the planning and implementation of your plan of care. Many pharmacies offer services that monitor your medications. 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. REVIEW CURRENT ELIGIBILITY REQUIREMENTS >. Receive an itemized bill and explanation of all charges. You invite and allow visitors to your site to keep your information private. You privacy is important. 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. Through CaringBridge you can set up a website that is your personal and private journal, guestbook and photo album. UHS also teams with HealthlinkNY to make your health records more easily accessible by your health care providers. Assure that the financial obligations of your health care are fulfilled as promptly as possible. 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. You can make an appointment to view your medical records at no charge. Medical Records The Medical Records office is located on the fifth floor of University Health Services. The UHS staff will be happy to assist you. Students, faculty and staff on the Ann Arbor campus, including Michigan Medicine, who have tested positive for COVID-19 within the past 90 days outside of U-M - that is, outside University Health Service (UHS), Occupational Health Services (OHS), or the Community Sampling and Tracking Program (CSTP) - are asked to report their positive test result. The physical record is the property of UHS. Receive all the information you need to give informed consent for an order not to resuscitate. They can help explain any confusing bill or insurance questions. Mail your HIPAA Compliant Authorization form to: University Health  Computer systems for Universal Health Services… Challenge an unexpected bill through the Independent Dispute Resolution process. Pathway’s telephone number is 888.891.6523. Universal Health Services, one of the largest healthcare providers in the U.S., has been hit by a ransomware attack. You’ll receive written discharge instructions prior to leaving the hospital. Any additional pages must be requested through our Medical Records Department at the Robert B. Wilson Medical Center Patient Relations Office: Binghamton General Hospital Patient Relations Office: Chenango Memorial Hospital Patient Advocate Office: Delaware Valley Hospital Quality Improvement Office. You must be registered as a patient in the UHS electronic health record (MiChart) in order to create a portal account. 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. Copies of your medical records can be provided to healthcare professionals for continuing care. Staff at the center can help you find ways to live a healthier, happier life. Or drop off the form at the Health Records department in the second-floor atrium of the Tang Center. UHS will process one encounter at the time of the request if asked. A list of all UHS clinics and hospitals and their phone numbers is available online. Do not hesitate to stop in or call on our financial advocates. Green Campus. Medical Records Department/MS-26-2 Release of Medical Information Authorization for your health care provider to release your medical records to Harvard University Health Services. Receive all the information that you need to give informed consent for any proposed procedure or treatment. Don't keep tubes of ointments or creams next to your tube of toothpaste. Student medical services are confidential. REVIEW CURRENT ELIGIBILITY REQUIREMENTS >, Important dates (birth date, admission date, discharge date, etc.). Additional forms will be brought to you for your signature after you’ve been assigned a room. If copies are for a patient's personal use, for an insurance company or for legal purposes, a fee will be charged. 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. Pharmacies have computers to check for interactions and allergies, but when your doctor gives you samples, this important check may be missed! The financial advocates are experienced with most insurance coverages and options, including Medicare and Medicaid. Store medications in their original containers. Medical Campus Holmes (East Campus) Phone: 513-556-2564 Medical Records Fax: 513-584-2222. 4502 Medical Drive Obtain medical or mental records for personal use (Note that records prior to August 2012 are NOT in the portal.) If you have questions about accessing your medical records, please contact our Health Information Management Office: UHS Release of  Information Dept. Then when you take it to the pharmacy, you can double check the information on the label. Box 61558 367 South Gulph Road King of Prussia, PA 19406 (610) 768-3300 Management Subsidiary UHS of Delaware, Inc. 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. You can also view up to 20 pages of your medical records at University Hospital. These are the stories of UHS patients and their experiences receiving coordinated care from UHS's network of healthcare providers and specialists. A standard fee of $1.00 per page will be charged for additional copies. They happen in hospitals, in pharmacies,or even at home. 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. 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. If you have concerns regarding your discharge plans, contact your physician, nurse, case manager or social worker. You also have the right to designate an individual to give this consent for you if you are too ill to do so. Your doctor and your nurse will give you instructions about post-hospital care. 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. Mail or fax the form to the UHS … Review your medical record without charge. UHS Health Records 2222 Bancroft Way Berkeley, CA 94720-4300. After discharge, the above charges will appear directly on your home telephone bill as “Hosp Tel Chg.” VISA, MasterCard and Discover are also accepted. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. Local law enforcement will be notified if the visitor refuses to comply. That way, if anyone tells you anything different, you’ll know to ask questions, which might prevent an error. Follow hospital rules and regulations affecting patient care and conduct. UHS may release records only as permitted by applicable state and federal law. Universal Corporate Center P.O. UHS is proud to sponsor CaringBridge. 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. If you’re admitted directly from your physician’s office, please report to Admissions unless your physician directs you otherwise. Know the names, positions and functions of any hospital staff involved in your care and refuse their treatment, examination or observation. With this information in place, your pharmacist can help protect you against harmful drug interactions, duplicate medications, and other potential problems. COVID-19 Vaccine. Your pharmacist can be your partner in preventing medication errors. 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. One charge covers use of both the television and telephone. The attack hit UHS systems early on … There is no fee to have your medical or mental health records sent to another health care provider. If we send you a pre-payment form, please mail your pre-payment to: University Health  Some examples would be in response to a medical emergency, under a court order, and in response to workman’s compensation claims. 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 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. Report any perceived or identified safety issues related to your care or physical environment to your physician(s) or other healthcare provider. 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. San Antonio, TX 78229-4496. You and your nurse will discuss your departure time. The hospital charges a fee of 75¢ per page for copies. A sign language interpreter is also available if needed. Partners Trust Bank has an ATM inside the cafeteria at. Be considerate of the rights of other patients and hospital personnel, and assist in the control of noise, smoking and the number of visitors. Please send all requests for records with a physically signed authorization form. At this time, we are offering many of our services remotely, including telehealth appointments.. Your whole family can benefit from these programs. Keep medications separate from pets’ medications or household chemicals. Under FERPA, Tennessee medical privacy laws apply to information and records UHS develops and maintains for patient diagnosis and treatment. 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. Welcome, students! Request of records for more than one encounter will require 7 business days to process. Our social work team assists patients and families in coping with the stresses that accompany illness and hospitalization. Refuse to take part in research. NO PHOTOGRAPHS OR VIDEO MAY BE TAKEN of any patient or staff member without his or her explicit permission. The hospital must provide you with a written discharge plan and written description of how you can appeal your discharge. 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. You cannot be denied a copy solely because you cannot afford to pay. 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. For status of medical record requests and other information, please call 210-358-3532. Keep appointments, and when you are unable to do so for any reason, notify the responsible physician or the hospital. Student Vaccine Exemption Read the label every time you take a dose to make sure you have the right medication and that you are following the instructions. You have the right to review your medical record and to obtain a copy. Please visit the center website for directions and parking information, as well as details on how to prepare for your surgery. Do not let anyone give you medications without checking your name band. Look at all medications before you take them. In deciding whether or not to participate, you have the right to a full explanation. Here, the medical records of nearly 40,000 students are stored and maintained according to HIPAA/HITECH, Federal and State laws. San Antonio, TX 78229-4496. 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. Create your account within 30 days after receiving instructions. Please note: For security purposes, we do not process requests for medical records via e-mail. Information can be viewed and shared securely from any web enabled device, such as computers, laptops, tablets and smartphones. This helps prevent you from getting someone else’s medications. Don’t chew, crush or break capsules or tablets unless instructed. Accept responsibility for your actions should you refuse treatment or do not follow your physician’s instructions. The law allows for exceptions and typically limits the amount of information that can be released under special circumstances. 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. Once you know what time you can expect to be released, please make any necessary arrangements to leave the hospital. Patient Financial Advocate Authorize those family members and other adults who will be given priority to visit consistent with your ability to receive visitors. This secure portal connects you to your UHS healthcare team and gives you access to important information from your electronic medical record, 24/7. Request Medical Records. Remind your nurse and doctor if you have allergies. Our nursing staff and a care manager or social worker will assist you with discharge plans. Complete the form and mail it to your previous health care provider. Some long acting medications are absorbed too quickly when chewed. 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). You are welcome to request copies of your medical records at any time. If you would like additional information, please ask for a copy of the pamphlet “Deciding About Health Care — A Guide for Patients and Families.”. Looking for University Health System in San Antonio, TX? 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. After discharge, the above charges will appear directly on your home telephone bill as “Hosp Tel Chg.” VISA, MasterCard and Discover are also accepted. We are available Monday through Friday, 8 a.m. to 5 p.m. 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. 607-337-4244, UHS Delaware Valley Hospital Participate in all decisions about your treatment and discharge from the hospital. If you do not have this experience, our patient relations representatives and patient advocates are here to assist you. Box 7339 Austin, TX 78713 ; To Request Your Medical Records. Attention: Release of Information Click here to download the patient guide for UHS Binghamton General Hospital and UHS Wilson Medical Center. 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. Patient Financial Advocates are ready to assist all patients with any financial questions and payment issues that may arise. Obtain a copy of your medical record for which the hospital can charge a reasonable fee. 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. Medical Records Department/MS-26-2 Please call to confirm. University Health Services. A fee per page will be applied to any pages after that. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. Television and Telephone: Inpatient rooms at all four UHS Hospitals are equipped with televisions and telephones; details about each appear below. If you choose to use the telephone, a small daily charge will apply. Student Vaccine Exemption Make a list of medications you are taking now. If your doctor gives you samples, make sure that he/ she checks to be sure there are no interactions with your other medications. If it doesn’t look like what you usually take, ask why. 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. 4502 Medical Drive Include the name, dose, how often you take them, and the name of your pharmacy. Any time that your medications change, update your list too. If you would like a copy of your protected health information, our Medical Records Department can help. The hospital must provide you with the State Health Department telephone number. 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). Johnson City, across from Wilson medical Center and UHS Delaware Valley hospital allow inpatients to bring electrical! 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