Get the free slu medical records form

AUTHORIZATION for DISCLOSURE SLUCare Health Information Management Correspondence Division West Pavilion Ground Floor 3655 Vista Ave St Louis MO 63110 314-268-7012 The Physicians of Saint Louis University I authorize Saint Louis University/SLUCare to release the following information Patient s Name / Previous Names Birth Date Social Security Number Medical Record RECIPIENT person or organization that will receive your information Doctor / Hospita...

How to fill out slu medical records form

How to fill out SLU medical records fax:

1. Gather all necessary documents and information required for the medical records fax, such as patient's full name, date of birth, and contact information.
2. Make sure to review the SLU medical records fax form to understand the specific details that need to be provided, such as the reason for the request, dates of treatment, and any pertinent medical history.
3. Fill in the required fields on the SLU medical records fax form accurately and completely, ensuring that all information is legible and easy to understand.
4. If there are any additional documents or supporting materials that need to be included with the fax, make sure to attach them securely.
5. Double-check the completed SLU medical records fax form for any errors or omissions before proceeding.
6. Use the designated fax number provided by SLU to send the medical records fax. Ensure that the fax is sent to the correct recipient or department.
7. If desired, keep a copy of the filled-out SLU medical records fax form and any supporting documents for your own records.

Who needs SLU medical records fax:

1. Patients who require their medical records to be sent to another healthcare provider for continued care or treatment.
2. Medical specialists who need access to a patient's medical history and treatment records in order to provide specialized care.
3. Insurance companies or legal representatives who may need access to a patient's medical records for claims or legal proceedings.

People Also Ask about slu medical records

When did SSM buy SLU?

The hospital continued to be owned and operated jointly until 1959, when the Sisters donated their share to the University. SLU sold the hospital to Tenet Healthcare Corporation in 1998. Now, in 2015, as SSM Health assumes ownership of the hospital and SSM Health St.

How do I get my medical records in Missouri?

In Missouri, medical records are available to patients or their representatives upon request. Upon request, health care providers are required to furnish a copy of the patient's medical records to the authorized party within a reasonable time.

How do I make an appointment with SLU health?

Schedule an Appointment with a SLUCare Provider If your provider does not currently offer online scheduling or if you need assistance scheduling an appointment, call 314-977-4440.

Is SSM and SLU the same?

In 1928, the University and the Sisters worked together to establish SLU's School of Nursing. In 1933, the Sisters and SLU opened the hospital on South Grand Boulevard today known as SSM Health Saint Louis University Hospital.

Who owns Saint Louis University Hospital?

Saint Louis University Hospital (SLU Hospital) is a 356-bed non-profit, research and academic medical center located in St. Louis, Missouri, providing tertiary care for the east Missouri region. The medical center is a part of the SSM Health System and is affiliated with the Saint Louis University School of Medicine.

Is SLU part of SSM?

In 1928, the University and the Sisters worked together to establish SLU's School of Nursing. In 1933, the Sisters and SLU opened the hospital on South Grand Boulevard today known as SSM Health Saint Louis University Hospital.

What hospital is SLU associated with?

The 525-bed SSM Health St. Mary's Hospital is the headquarters for the Saint Louis University School of Medicine's Department of Obstetric, Gynecology and Women's Health and our family practice residency programs.

What does SSM Health in St. Louis stand for?

In 1874, the congregation received its formal name: the Sisters of St. Mary (SSM) from the parish where their convent was located, St. Mary of Victories near the riverfront in St. Louis.

Is SLU part of mercy?

Mercy Hospital St. Louis is part of the Mercy Health Care System. It is the sixth largest Catholic health care system in the country with 25 local St.

For pdfFiller’s FAQs

What is slu medical records fax?

SLU Medical Records Fax is the fax number for sending medical records to Saint Louis University's medical records department. The specific fax number for SLU Medical Records may vary, so it is recommended to contact the department directly for the correct fax number.

How to fill out slu medical records fax?

To fill out a SLU medical records fax form, follow these steps: 1. Start by writing your contact information at the top of the form. Include your name, address, phone number, and email address. 2. Next, provide the patient's information. Include their full name, date of birth, gender, and address. 3. Fill in the purpose of the requested medical records. Specify whether it is for personal use, legal proceedings, insurance claim, or any other purpose. 4. Indicate the medical records that are being requested. Be specific about the type of records needed, such as laboratory results, diagnostic reports, medication history, or treatment summaries. 5. Provide the dates of service or the time period for which you are requesting the medical records. This will help the healthcare provider locate the relevant information more easily. 6. If you have any special instructions or additional information related to the request, include it in the designated section or in a separate attachment if necessary. 7. Sign and date the form. By signing, you acknowledge that you understand and agree to the terms and conditions of obtaining the medical records. Also, make sure to include the date when the form is being filled out. 8. Finally, ensure that all the required sections are completed and review the form for accuracy and completeness before sending it via fax to the appropriate SLU medical records department.

What is the purpose of slu medical records fax?

The purpose of SLU (Saint Louis University) Medical Records Fax is to provide a secure and efficient method of transmitting medical records between healthcare providers, institutions, and other stakeholders. Faxing medical records allows for the transfer of confidential patient information while maintaining data privacy and security. It facilitates communication and sharing of vital patient information, ensuring continuity of care and facilitating the coordination of healthcare services. Additionally, faxing medical records may comply with legal and regulatory requirements for maintaining patient records and ensuring accuracy and accountability.

What information must be reported on slu medical records fax?

The specific information that must be reported on SLU (Saint Louis University) medical records fax may vary based on the institution's guidelines and requirements. However, generally, the following information should be included in medical records fax: 1. Patient Information: Full name, date of birth, gender, address, phone number, and social security number or unique patient identifier. 2. Medical History: Any relevant medical history including current and past diagnoses, treatments, surgeries, allergies, and ongoing medications. 3. Visit Information: Date and time of the visit, reason for the visit, referring physician or department, and any specific details related to the visit (e.g., consultations, tests ordered, procedures performed). 4. Progress Notes: Detailed notes about the patient's condition, symptoms, and progress during the visit. This may include vital signs, physical examination findings, assessments, and treatment plans. 5. Test Results: Any relevant laboratory, imaging, or diagnostic test results including dates, test names, and relevant values or interpretations. 6. Medication Orders: Details of any prescribed or adjusted medications, including drug name, dosage, frequency, and route of administration. 7. Imaging Reports: Copies of radiology or imaging reports including findings and interpretations. 8. Consultation Reports: Copies of consultation reports from other specialists involved in the patient's care. 9. Discharge Summaries: Summary of the visit, including diagnoses, procedures performed, treatment plans, follow-up instructions, and referrals. 10. Consent Forms: Any signed consent forms related to the treatment or procedures performed during the visit. It is important to consult with the specific medical institution or healthcare provider to ensure the accurate and complete transmission of medical records via fax.

Who is required to file slu medical records fax?

The person or organization requesting the medical records is typically required to file the SLU medical records fax.

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