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QUEENS NORTH HAWAII COMMUNITY HOSPITAL
HIM Dept. (Medical Records Department)
671125 Mamalahoa Highway Samuel, Hawaii 96743
Phone (808) 8814652 FAX: (808) 8814649
AUTHORIZATION FOR USE AND DISCLOSURE
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Start by gathering all necessary information such as your personal details, the type of records you are requesting, and the reason for the request.
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A request for records at is a formal application made to obtain specific documents or information maintained by an organization or government agency.
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Individuals or organizations seeking access to certain records or information that are not readily available to the public are required to file a request for records at.
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Information that must be reported typically includes the requester's name and contact details, the specific records requested, the purpose of the request, and any deadlines or timeframes.
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