Please contact your insurance provider for confirmation. (Mon – Fri) 8:00-5:00 502 East Monroe Street To request your billing records, please contact the business office at … 2929 5th Street (605) 755-4316, Monument Health John T. Vucurevich Cancer Care Institute 1440 N Main Street

Use our convenient online Medical Record Request form to submit your request more quickly. Rapid City SD 57701 Was surprised that my ears, nose, throat were not checked, but over all, was okay visit. Authorization for Release of Medical Record Information #1062 Spanish. You can also use MyChart, our unified patient portal, which gives you secure online access to your health care records. 1121 Washington Boulevard You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below: English Form.

3, Monument Health Medical Clinic Vanderbilt®, Vanderbilt University Medical Center®, V Oak Leaf Design®, Monroe Carell Jr. Children’s Hospital at Vanderbilt® and Vanderbilt Health® are trademarks of The Vanderbilt University. Corporate Health Information Management PO Box 32861 Charlotte, NC 28232-2861 Fax: 704-446-6037 Walk-In: You may stop by at any of our locations during specific walk-in hours. You will need to sign up or login to your account, click ‘Health’, click ‘Document and Record Center’, click ‘Your Medical Records’, fill out your release electronically, and the records will be released to your MyChart account soon thereafter. (605) 755-2300, Monument Health Neurology and Rehabilitation Completely fill out the form, date and sign, and mail or fax to the Medical Records Department of the Lee Health hospital where you were a patient. 61 Charles Street Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action. 353 Fairmont Boulevard Rapid City SD 57701 (605) 755-6138, Same Day Surgery Center 640 Flormann Street Press Ganey provides the survey scores to Summa Health. If you have questions about obtaining copies of medical records please call our customer service team at 1-844-962-2090 or email us at releaseofinfo@peacehealth.org.For all other questions regarding medical records, call 360-729-1340. If you need information regarding pharmacy outpatient records, call (615) 322-6480. Through the exceptional capabilities and caring spirit of its people, Vanderbilt will lead in improving the healthcare of individuals and communities regionally, nationally and internationally. (Mon – Sun) 7:00 – 7:00 1303 N Lacrosse Street Summa Health Medical Group Medina Family Medicine. Insurance. (Mon – Fri) 8:00 – 5:00 Medina, OH 44256. If you need copies of your radiology images or have questions, call (615) 322-0866 or fax your authorization form to (615) 343-6373. Spanish Form . (605) 755-4153, Monument Health Orthopedic and Specialty Hospital If you have questions about your medical records, call (615) 322-2062 and select option 3. (Mon – Fri) 7:30-4:30 71 Charles Street (605) 723-8970, Monument Health Medical Clinic (605) 755-2273, Monument Health Dermatology – Meade Street, Rapid City (605) 755-8472, Monument Health Spearfish Hospital (Mon – Fri) 8:00 – 4:00 To request a copy of your medical records, please call 507-637-4591 or complete the form listed above and fax to 507-697-6006. 3780 Medina Road, Suite 310. Billing Records. Dr. Cullen is a careful, attentive physician. Patient Access Request For Medical Records #2487 Spanish. (Mon – Fri) 8:00 – 5:00

He had read my records from an ER visit and discussed all of my concerns.

(Mon – Fri) 8:00 – 5:00 Patient Access Request For Medical Records #2487 English. I appreciate his good work. 651 Cathedral Drive

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