Duke Health Medical Records Release

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Get Your Medical Records from Duke Health Duke Health

(2 days ago) WebUse one of the following methods to submit the request for medical records. Email : [email protected]. Fax: 919-620-5165. Mail: Release of Information. Duke University Health System. P.O. Box 3016. Durham, NC 27710. Customer Service: 919 …

https://www.dukehealth.org/medical-records/get-medical-records-from-duke

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AUTHORIZATION FOR RELEASE OF INFORMATION - Duke …

(4 days ago) WebI specifically approve the release of the following information that has been marked as sensitive and/or restricted (check all that apply): Mental and Behavioral …

https://www.dukehealth.org/sites/default/files/2019-04-01_duke_health_authorization_for_release_of_information.pdf

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Order Your Patients' Medical Records - Duke Health

(9 days ago) WebTo request a copy of your medical records from a Duke Health entity, you will need to complete the Duke Health Enterprise Authorization for Release of Protected Health …

https://physicians.dukehealth.org/order-your-patients-medical-records

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Records and Privacy Duke University Hospital Duke Health

(1 days ago) WebRelease of Information Duke University Health System P.O. Box 3016 Durham, NC 27710. Customer Service: 919-684-1700. We are open Monday – Friday 8:00 am to 4:30 pm. …

https://www.dukehealth.org/hospitals/duke-university-hospital/records-and-privacy

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Send Your Medical Records to Duke Health Duke Health

(3 days ago) WebIf you are going to mail the records, use a trackable courier, such as FedEx or UPS. We do not recommend using the U.S. Postal Service because packages can’t be tracked, but …

https://www.dukehealth.org/medical-records/send-your-medical-records-duke

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Instructions for Completing the Authorization for Release of

(Just Now) WebThis section tells us what information or records you would like us to release. 5. Indicate the treatment dates to be released. If none selected, the last 2 years of active …

https://www.dukehealth.org/sites/default/files/2019-04-01_duke_health_authorization_instructions.pdf

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AUTHORIZATION FOR RELEASE OF INFORMATION - Duke …

(7 days ago) WebThis Authorization will automatically expire one year from the date signed below unless revoked or another date or event is written here: Signature of Patient/Patient …

https://www.dukehealth.org/sites/default/files/M3-13-21AuthorizationtoReleaseProtectedHealthInformation.pdf

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Instructions for Completing the Authorization for Release of

(2 days ago) WebYou will also need to submit. death certificate with the affidavit. Mail, E-mail, or Fax a copy of the Authorization to the following address: Mail: Duke University Hospital – …

https://physicians.dukehealth.org/sites/default/files/page/2019-04-01_duke_health_authorization_instructions.pdf

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Protected Health Information and Patient Privacy Policy

(8 days ago) WebDisclosure: The release, transfer, access to, or divulging in any other manner protected health information outside of Duke Health Enterprise. An example would be the release …

https://hr.duke.edu/policies/protected-health-information/

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AUTHORIZATION FOR RELEASE OF INFORMATION - Duke …

(8 days ago) Webof the patient (Power of Attorney, Court Order, Legal Guardian Documentation, Executor/Administrator Documentation) SEND COMPLETED FORM TO: ROI …

https://physicians.dukehealth.org/sites/default/files/media_browser/M3-13-21AuthorizationtoReleaseProtectedHealthInformation.pdf

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Medical Records and Forms Duke Fertility Center

(7 days ago) WebDuke Fertility Center. 5601 Arringdon Park Dr. Suite 210. Morrisville, NC 27560-5643. e-mail: [email protected]. For records and information regarding treatment, lab …

https://dukefertilitycenter.org/patient-information/medical-records-and-forms

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For Patients Duke Department of Radiology

(8 days ago) WebDuke University Hospital Radiology Image Library 2301 Erwin Road Box 3808 Durham, NC 27710 Phone: (919) 684-7274 Option 1 or (919) 684-7860 Fax: (919) 684-7139

https://radiology.duke.edu/patient-care/patients

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Contact Us Duke Department Of Ophthalmology

(7 days ago) WebTo obtain medical records, please contact the Duke Health Medical Records office. Please contact the Duke Eye Center appointment line at (919) 681-3937 for access to …

https://dukeeyecenter.duke.edu/about/contact-us

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About Us Duke Connected Care

(5 days ago) WebFor general needs related to Duke Health patients, (such as medical records, release of information, or third party requests) please contact the Health Information Management …

https://dukeconnectedcare.org/about

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For Providers Duke Department of Radiology

(9 days ago) Web1 st shift 9 am-6:30 pm 919-684-7266 or 919-695-2312. 2 nd shift 3 pm-11:30 pm 919-695-2056 or 919-695-2865. Weekends 919-695-2761 or 919-684-7285. Email us at …

https://radiology.duke.edu/patient-care/providers

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Authorization for Release of Medical Records - Urgent Care …

(7 days ago) WebI understand that certain records may be sent via fax and I relieve Duke City Urgent Care and employee of any liability from mis-transmission by telefax. A photocopy …

https://www.dukecityurgentcare.com/wp-content/uploads/2019/04/4ea1d195-0f1e-3f28-6a8b-00003ded0fb9_medical-release-authorization-form.pdf

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Student Health - Duke Student Affairs

(9 days ago) WebIf you are planning to travel abroad it is essential that you schedule a pre-travel appointment 8-12 weeks prior to departure. If you would like to make an …

https://students.duke.edu/wellness/studenthealth/

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Medical Records - Penn Medicine Lancaster General Health

(7 days ago) WebAuthorization to Release Health Information Autorización para Divulgar Información de Salud. Mail to: Medical Record Services Lancaster General Hospital PO Box 3555 555 …

https://www.lancastergeneralhealth.org/patient-and-visitor-information/patient-information/quality-and-patient-experience/medical-records

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Request Medical Records Dukes Memorial Hospital Peru, IN

(7 days ago) WebRequest Medical Records Now. If you are not able to use the online request process, download one of the forms below, complete and send to: Dukes Memorial Hospital. …

https://www.dukesmemorialhosp.com/request-medical-records

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AUTHORIZATION FOR RELEASE OF INFORMATION - Duke …

(6 days ago) WebAUTHORIZATION FOR RELEASE OF INFORMATION SEND COMPLETED FORM TO: [email protected]; Fax: 919-620-5165 OR Duke University …

https://physicians.dukehealth.org/sites/default/files/page/2019-04-01_duke_health_authorization_for_release_of_information.pdf

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