Whether youre an expectant mother a new parent looking for a pediatrician or want the expertise that only stanford childrens health can provide we can help find the right doctor for you. Please clearly and legibly print all information when completing this form and sign on the last page.
Online Second Opinion Stanford Children S Health
Facilityhealthcare provider you would like your records released from i hereby authorize.
Stanford childrens hospital medical records. Stanford health care medical records. Request for online access to medical records i hereby request lucille packard childrens hospital stanfordstanford childrens health provide access to health information in mychart allowable by law of the minor patient named below to the following proxy representative. Stanford childrens health provides access to clear and complete information so you can make the best possible healthcare decisions.
Knowledge of health information systems for computer application to medical records. If you have any questions regarding release of health information from stanford health care please call 650 723 5721you may deliver your forms in person or by mail. The stanford childrens health mobile app is designed to help patients quickly find a doctor call for an appointment access their medical records and navigate the hospital campus.
Requesting a copy of your medical records is easy whether for your personal records or to be sent to another medical facility. Consent form for an adult patient accessing their own medical record adult form. Authorizing the release of the records to someone other than you.
L ucile packard childrens hospital stanford strongly values diversity and is committed to equal opportunity and non discrimination in all of its policies and practices including the area of employment. When you choose stanford childrens health you get exceptional care thats backed by the research innovation and discoveries coming from a leading university and top ranked academic medical center. The stanford advantage.
If you or your child is already a registered patient at stanford childrens health you may download the consent form and send to our medical records department. To request share access to view a childs or adult patients online health record andor billing information learn more through the myhealth share access proxy program. Lucile packard childrens hospital stanford stanford childrens health.
Accordingly lpch does not. If you or your child received care at stanford childrens health learn how to create an account andor request share access to view your childs online health records and medical bills using their mychart program. Consent form for parent access to your childs record child consent form.
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