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The information contained in a patient’s medical record is confidential. It is a legal requirement that Cincinnati Children’s Hospital Medical Center receive specific authorization before releasing this information. Authorization may be granted by completing an “Authorization For Use and / or Disclosure of Protected Health Information” form. These forms are available through Health Information Management.
If you have questions or would like help from the Health Information Management Department at Cincinnati Children’s, call 513-636-4217 or 513-636-8233.
To get medical records, print the form you need and mail it to:
Cincinnati Children’s Hospital Medical CenterHealth Information ManagementMLC 50153333 Burnet Ave.Cincinnati, OH 45229
There may be times when you are not available to bring your child for medical care. You can fill out a “Permission to Authorize Consent for Treatment” form to allow another individual that you name to give legal consent for medical care and procedures. You must have this form notarized, and it expires one year from the date you sign.
Attention, ParentsIf your child is 18 years of age or older, it is REQUIRED by law that he or she sign an “Authorization for Use and / or Disclosure of Protected Health Information” form allowing release of the medical record, including to release the record to you.
Requests for all information (progress notes, consent forms, registration sheets, etc.) can delay processing and become very costly. If you need help deciding what to request, a patient information coordinator will assist you. Call 513-636-8233.
If you are requesting information for continuing patient care, the caregiver receiving the information usually wants only an overview of the important information. (This usually meets the need for individual use as well.)
A patient / physician abstract contains:
There is a charge for medical record copies. Requestors will be sent a prepayment invoice upon determination of total cost. Note: This charge is waived for records sent directly to continuing caregivers.
All checks must be made payable to Cincinnati Children’s Hospital Medical Center. Payment may also be made using Visa or MasterCard by calling 513-636-4217.
Note that copies of medical records from other facilities may not be re-released by Cincinnati Children’s. They must be requested from the originating facility.
3333 Burnet Avenue, Cincinnati, Ohio 45229-3026 | 1-513-636-4200 | 1-800-344-2462 | TTY:1-513-636-4900
New to Cincinnati Children’s or live outside of the tri-state area? 1-877-881-8479
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