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发布医疗记录

When a patient needs a copy of his or her INTEGRIS Health medical record, the Health Information Management department is available to help.

INTEGRIS Community Hospital Records

发布的信息

INTEGRIS Health releases copies of patient records upon request provided we receive a written request or valid authorization signed by the patient or legal representative.

客户服务调查

Have you recently requested medical records? 如果是这样的话, please help us better serve you by taking a few minutes to tell us about your experience with you records request by clicking the below link and taking a short survey.

客户服务调查

Attention 病人 and Representatives:保护病人, 他们的家庭, and INTEGRIS Health caregivers; and to mitigate the potential transmission of COVID-19, we ask that you do not present to an INTEGRIS Health facility or healthcare provider to obtain copies of medical records. Please direct requests for medical records to

HealthInfoManagement@cougarq.es.kiddrock.com

or submit a Customer Service Question through Messaging in your 我和INTEGRIS 病人门户. If sending the request through the 病人门户, select Question about your ROI request 下 关于 标题. 利用这两种方法中, please specify the health information being requested and provide current contact information including patient name, 你的名字, 电话号码, 和电子邮件地址. 为了安全目的, 如果可能的话, we will provide a copy of your records to you in the 病人门户. Otherwise, we will arrange to provide records in another compliant and acceptable format. For questions, please contact Health Information Management at the number listed below.

Patient or Patient Representative Request Form

This form should be utilized to request copies of your own information or to direct copies of your information be sent to a third party.

病人授权

This form should be utilized to authorize a third party to obtain copies of your health information upon on the third party’s request.

    The “Patient Request for Health Information" or the “Authorization for Release of Health Information” forms may be submitted to INTEGRIS utilizing one of the following methods:

    邮件: INTEGRIS他部门
    3366 NW Expressway, Building D Ste. C20
    俄克拉荷马城，OK 73112

    传真: INTEGRIS他部门
    - Patient and care providers
    -所有其他请求者

    Personal Delivery to any INTEGRIS Health location.

    If picking up your requested records, INTEGRIS Health will validate identity by signature or by one of the following forms of identification:

    可接受的标识包括:

    • 驾照
    • 就业ID
    • ID状态问题
    • 当前学校ID
    • 军事ID
    • 弗吉尼亚州ID
    • 有效的,当前的护照

    Personal Representatives should provide documentation to prove legal representation such as:

    • Power of attorney for healthcare
    • Legal guardianship papers
    • Order of legal representation

    Medical record copy fees may be applied as below pursuant to federal regulation 45 CFR 164.524(c)(4).

    • Patient or patient representative requests:
      • Electronic Delivery: Flat rate fee of $6.50 if records are in electronic format and delivered on electronic media. 此外,0美元.12 per page if any of the records are maintained on paper.
      • 论文交付:$ 0.12 per page plus labor cost, shipping supplies, actual postage, and sales tax.
    • 第三方请求(i.e. attorneys or insurance companies):
      • $10.00固定费用加0美元.30 per page for paper or electronic delivery. Total charges are capped at $200 if the entire request can be reproduced from an electronic health record in the specified format requested and delivered electronically.

    X-rays, photographs, images, or pathology slides are a flat rate of $5.00每.

    Please allow up to 30 days from the date of discharge for record processing before requested copies will be available.

    问题? Please call Health Information Management at

    额外的形式