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ACCESS TO ELECTRONIC HEALTH RECORDS FOR CLINICS/ORGANIZATIONS THIS AGREEMENT (Agreement) is made and entered into this ___ day of ___, 20___, by and between St. Luke's Health (Hospital) and ___ (Organization).
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How to fill out access your medical records

01
Contact your healthcare provider or medical records department to request access to your medical records.
02
Fill out the required forms, which may include a consent form and proof of identification.
03
Specify the time frame for which you are requesting access to your medical records.
04
Pay any required fees for copies of your medical records, if applicable.
05
Review the records once provided and follow up with any questions or concerns.

Who needs access your medical records?

01
Patients who want to review their own medical history and treatment plans.
02
Healthcare providers who need access to your medical records for continued care and treatment.
03
Insurance companies for processing claims and determining coverage.
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Accessing your medical records refers to the ability to view and obtain copies of your personal health information that is stored by healthcare providers.
Patients or their authorized representatives are typically required to file a request to access their medical records.
To access your medical records, you usually need to submit a request form to the healthcare provider or facility where your records are stored. This form may require your personal information and signature.
Accessing your medical records allows you to review your health information, verify its accuracy, and share it with other healthcare providers as needed for continuity of care.
Medical records typically include information such as diagnoses, treatments received, medications prescribed, lab results, and notes from healthcare providers regarding your health history.
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