Medical Record Request during COVID-19 Restrictions
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As we continue to monitor updates regarding the state of current events
surrounding COVID-19 and any potential risk to our patients and staff,
HIM (Medical Records) has decided to temporarily close our Release of
Information desk.
We understand that access to your medical information is important and
essential; we will still be available to process your requests for release
of information remotely.
Effective Monday, March 23, 2020, all patient release of information requests
can be submitted by e-mail, fax or US Mail. We will do our due diligence
to process your requests in a timely manner.
Once the Health Information Department has received your request, it can
take between 3 - 5 days to process.. To request a copy of your medical
record, please complete the “Authorization to Disclose Health Information”
form below:
To submit your request and scanned copy of valid Identification
Email: Medicalrecordsrequest@MaderaHospital.org
Fax:
559-675-5519
US Mail:
Attn: Health Information Management
1250 E. Almond
Madera, CA 93637