医疗记录

关于

Patients may obtain their medical records with the proper authorization. 的se include diagnostic imaging records and billing information.

A signed authorization for release of protected health information is required to release medical records.

Due to the requirement for a signature on the authorization form, employees of Hunt Regional Healthcare are not permitted to accept requests for medical records by e-mail.

的 person signing the authorization form needs to include a copy of a valid photo identification card. Any of the following forms of identification are acceptable:

  • a driver’s license
  • a photo ID from work
  • 军人身份证
  • any other type of photo identification that includes the requesting party’s name

另外, if you are the patient’s court appointed legal guardian or the patient’s Power of Attorney you must provide photocopies of the documents establishing your right to sign the authorization form on the patient’s behalf.

Print and complete the HIPAA authorization form (PDF), 在表格上签字, attach a copy of photo identification, and mail to the HMHD location where you were treated (addresses are included below).

A signed authorization for release of protected health information is required to release billing information. 的 records release form (PDF) and a copy of photo identification should be mailed to Patient Financial 服务 (address is included below).

A signed authorization for release of protected health information is required to release Diagnostic Imaging films. 的 Imaging Release form (PDF) and a copy of photo identification should be mailed to Diagnostic Imaging (address is included below).

下载 Authorization for Release of Protected Health Information. Print and complete the form, then mail to the appropriate address (see below).

Hunt Regional Medical Center at Greenville
Attn: Health Information Management
4215乔·拉姆齐
Greenville, TX 75403-1059
Fax: (903) 408-1649

Hunt Regional 首页 Care
Attn: 医疗记录
3900 Joe Ramsey Blvd E. 建筑1
Greenville, TX 75401
Fax: (903) 408-1969

Patient Financial 服务
4001 Ridgecrest Road
Greenville, TX 75402
Fax: (903) 408-1129

Diagnostic Imaging
4215乔·拉姆齐
Greenville, TX 75403-1059
Fax: (903) 408-1249

的 Texas Legislature sets the fees that hospitals are permitted to charge for copies of medical records. This is found in §241.154(b)-(d) of the Health and Safety Code. 的 medical record fees at HMHD facilities will not exceed the rates permitted by the Texas State Legislature.

2017 Texas fees for copies of medical records in paper form:

  • 1-10页45美元.79, includes basic retrieval or processing fee
  • 11-60页1美元.每页54元
  • 61-400页$0.每页76元
  • More than 400 pages $0.每页41元
  • 的 actual cost of mailing, shipping, or otherwise delivering the provided copies

Texas 费用 for copies of medical records on microfilm:

  • 1-10页69美元.74, includes basic retrieval or processing fee
  • $1.每页54元 thereafter
  • 的 actual cost of mailing, shipping or otherwise delivering the provided copies

Texas 费用 for records stored on a digital or other electronic medium and the requesting party requests delivery in a digital or electronic medium, including electronic mail:

  • Retrieval and processing fee which may not exceed $82.95
  • 的 actual cost of mailing, shipping, or otherwise delivering the provided copies

其他费用:

  • Execution of an affidavit or certification of a document, not to exceed the charge authorized by Civil Practice and Remedies Code, §22.004
  • Written responses to a written set of questions, not to exceed $10.00美元一套

快速链接

病人形式, the advance directive, privacy statement, and other information will be provided in Spanish if needed. A translator will be provided to help you and your family communicate with hospital staff if needed. Translation service is available in several languages.

All patient rooms are equipped with telephones.

  • Credit card or collect long-distance calls may be placed by dialing 9 + 0 + the number.
  • To get an outside line, dial 9.
  • To call a patient room direct, dial 903-408-1 + the three digit room number.

Hunt Regional Medical Center patients who do not wish to receive telephone calls can notify the operator by dialing 0.

Telephones for the hearing impaired are available on request.