Medical Records

 

Release of Information

The information provided is intended as an educational document for our customers. Please note that there may be certain circumstances, laws and regulations that may limit or restrict release of the patient’s medical record.
 

Frequently Asked Questions

Do you have the right to your medical record?

How long does the hospital keep my records?

How would I access the Authorization for Release of Medical Information form?

Who can sign the Release of Information Authorization form?

Can I get all my records from the HIM Department?

Is there a charge for a copy of my medical records?

How do I get the copy of my medical record?

How long will it take to process my request?

Can you send my medical records to my doctor for me?

Can I request a copy of a birth certificate or death certificate from you?

 


  • Do you have the right to your medical record?
    Yes, by Florida Law (Florida Statute 395.3025) you or your legal representative has the right to a copy of your medical record. The original medical record is owned by the hospital, but you have access to your medical record for viewing or to obtain copies with proper HIPAA compliant authorization.

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  • How would I access the Authorization for Release of Medical Information form?
    You can download the Authorization for Release of Medical Information (ROI) form here, or you can request a form from the hospital Health Information Management (HIM) Department. Completed forms may be returned to the hospital HIM Department for processing via email, fax or mail. In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo ID (i.e. driver’s license, military ID or state ID) and telephone number. An authorization becomes invalid if the form is incomplete or contains false core elements. You may contact us at:

     Bethesda Hospital East

     Health Information Management 
     2815 S Seacrest Blvd.
     Boynton Beach, FL 33435
     Telephone: 561-737-7733, ext. 84271
     Fax: 561-738-5950
     Office Hours: 8:30 am – 4:00 pm,
                                 Monday – Friday
    Email: ROIWebsite@bhinc.org

     Bethesda Hospital West

     Health Information Management 
     9655 W Boynton Beach Blvd.
     Boynton Beach, FL 33472
     Telephone: 561-336-7000, ext. 70790
     Fax: 561-336-7290
     Office Hours: 8:30 am – 4:00 pm,
                                 Monday – Friday
     Email: ROIWebsite@bhinc.org

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  • Who can sign the Release of Information Authorization form?
    Any of the following people can sign the form:
    - Patient (18 years of age or older)
    - Medical Power of Attorney (must state it includes medical information)
    - Legal Representative- Guardian
    -
    Legal next of kin for deceased patient (must provide a copy of Death Certificate and be listed on death certificate and/or letter of administration)

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  • Can I get all my records from the HIM Department?
    No, Hospice and Radiation Oncology maintain their own medical records. You may request these directly at:
    -Hospice 561-848-5200
    -Radiation Oncology 561-374-5440

    HIM does not maintain Radiology X-ray images on CD or Pathology slides. You may request these directly at:
    -Bethesda Hospital East Radiology X-ray images on CD - 561-737-7733, ext. 84573
    -Bethesda Hospital West Radiology X-ray images on CD -  561-336-7000, ext. 70250
    -Pathology slides - 561-737-7733, ext. 84566

     

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  • How do I get the copy of my medical record?
    The medical records may be mailed to you or picked up at the hospital HIM Department. Only the designated person on the ROI Authorization form will be authorized to pick up the records, and proof of identification is required.

     

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