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In Person 医疗记录 Not Permitted At This Time

At this time, medical records can not be obtained in person. To request your records, please download the form below, then either email or fax the request form to one of the options below:

下载 then fill out electronically
医疗释放表格

电子邮件
琼.Morsell@Calverthealthmed.org
or
杰西卡.hartmann@calverthealthmed.org

传真
410.414.4666
医疗记录
Obtaining Your Medical Record

Maryland Law specifies that a request for any patient medical record must be in writing and must become a part of the person's medical record. The medical records department protects the confidentiality of all patient information and will only release a patient's medical record with the proper consent. If a physician involved in your care needs a copy of your medical record, the medical records department can forward a copy to that physician with your consent. There is no fee involved and a representative of the 健康 Information Management department handles the copying of your record. These types of requests can generally be done within 48 hours.

Other requests for copies of records are handled on a case by case basis utilizing state and federal guidelines for the proper release of patient information. In some cases a fee is required for these copies. Currently, the fees for patients are a flat fee of $6.50, .76 cents per page copied plus the actual mailing costs.

If you need to obtain a copy of your medical record or need it sent to someone else, we will need your written authorization mailed/submitted to:

Correspondence Secretary
健康 Information Management Department
网上买球软件 Medical Center
医院道100号
弗雷德里克王子,马里兰州. 20678

下载 医疗释放表格

豁免表格须 Adobe Acrobat® ReaderTM

For all questions regarding correspondence call 410.535.8275 or 301.855.1012 ext.8275.

If you prefer to fax the document, the fax # is 410.414.4666.
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