Online submission of the medical record: Please DOWNLOAD the Entrance Student Medical Record Form ; The form should be completed by your personal physician or a physician at the Family Medicine clinics**. When you buy over-the-counter medications, read the label carefully, because the medication may contain ingredients you do not want or should not take. UHS does not disclose information to parents or guardians for students over the age of 18 without the student’s consent. © 2021 University Health System. Be considerate of the rights of other patients and hospital personnel, and assist in the control of noise, smoking and the number of visitors. We would like to show you a description here but the site won’t allow us. Make a list of medications you are taking now. Information can be viewed and shared securely from any web enabled device, such as computers, laptops, tablets and smartphones. Visit the link to pay your UHS bill online, by phone or by mail. If you have concerns regarding your discharge plans, contact your physician, nurse, case manager or social worker. Privacy while in the hospital and confidentiality of all information and records regarding your care. REVIEW CURRENT ELIGIBILITY REQUIREMENTS >. Please download and fill out any of these necessary forms to obtain your medical records. Mail your HIPAA Compliant Authorization form to: University Health  Review your medical record without charge. (607) 337-4295. Local law enforcement will be notified if the visitor refuses to comply. Ask your doctor to explain what is written on any prescription including the drug name and how often you should take it. Also list your medication and food allergies, and any over-the-counter medications, vitamins, nutritional supplements or herbal products that you take regularly. University Health Services. However, patients at UHS Delaware Valley Hospital must have these items inspected by a staff member prior to their use; please speak with your nurse. Click here to download the patient guide for UHS Binghamton General Hospital and UHS Wilson Medical Center. At your request, your medical records will be released to any doctor free of charge. View a list of the hospital’s standard charges for items and services and the health plans the hospital participates with. These charts will be protected from loss, alteration, destruction and … When you get ready to go home, have the doctor or nurse go over each medication with you and a family member. Medical records must be completed by all physicians involved in the patient’s care prior to being copied and released to the patient. If you have a medical concern, call us at 412-268-2157, option 2, to discuss your needs. Transfer to UHS: Additional forms will be brought to you for your signature after you’ve been assigned a room. If you’re admitted directly from your physician’s office, please report to Admissions unless your physician directs you otherwise. UHS Health Records 2222 Bancroft Way Berkeley, CA 94720-4300. If you have questions about your health insurance or your hospital bill, a Patient Financial Advocate will be happy to answer your questions by telephone, or if you request it, will come to your room while you’re still in the hospital. General information lines are listed below: Your confidentiality is our priority. Remind your nurse and doctor if you have allergies. For more information, contact Project HEAR, UHS Home Care TTHH, at 607.763.8952. Follow hospital rules and regulations affecting patient care and conduct. Do not hesitate to stop in or call on our financial advocates. Medical records which includes notes, details of visits and doctors opinions Images which includes things like x rays and scans This information is kept on two different systems so you will need to be clear what type of information you would like and make the request to the appropriate team. Wilson Medical Center Patient Relations Office: Binghamton General Hospital Patient Relations Office: Chenango Memorial Hospital Patient Advocate Office: Delaware Valley Hospital Quality Improvement Office. A list of all UHS clinics and hospitals and their phone numbers is available online. Attention: Release of Information Whether you need home care services, equipment or supplies, UHS can help. In accordance with Indiana state and federal laws governing privacy, University Health Services (UHS) will not share a student’s information outside of the health care community without a student’s express permission. If it doesn’t look like what you usually take, ask why. Sometimes your health care journey will take you from the doctor’s office to a hospital or a specialty department within UHS. The more information you have, the better able you are to prevent errors and take care of yourself. Please include a daytime phone number so that the medical staff can contact you if needed. A major hospital chain has been hit by what appears to be one of the largest medical cyberattacks in United States history. Pathway’s telephone number is 888.891.6523. Patient requests for copies of medical records will be … San Antonio, TX 78229-4496. Social workers provide psychological and social assessments and counseling, and coordinate referrals for post-discharge follow-up, nursing home placement, home care nursing, delivery of home medical equipment and end of life care. Legal representatives can also gain access to patients' records. All Rights Reserved. Looking for University Health System in San Antonio, TX? Medical Information Forms. The hospital must provide you with the State Health Department telephone number. Please note: For security purposes, we do not process requests for medical records via e-mail. Many pharmacies offer services that monitor your medications. University Health Services ATTN: Record Release P.O. Don’t chew, crush or break capsules or tablets unless instructed. Obtain medical or mental records for personal use Request Medical Records. You cannot be denied a copy solely because you cannot afford to pay. Our clinicians provide treatment for a wide array of health concerns that most commonly include: They can help explain any confusing bill or insurance questions. Student medical services are confidential. Ask to speak with the Medical Records department. You are welcome to request copies of your medical records at any time. You can print a release form for transfers of records to UHS or pick up a copy of the form from Health Records. Universal Corporate Center P.O. Instructions for activating the television and making local and long-distance calls are provided in the patient handbook in your hospital room. Partners Trust Bank has an ATM inside the cafeteria at. Please call the clinic or hospital where you received care and ask to speak with someone in the Medical Records department. These are the stories of UHS patients and their experiences receiving coordinated care from UHS's network of healthcare providers and specialists. UHS also teams with HealthlinkNY to make your health records more easily accessible by your health care providers. Don't store medication in the bathroom medicine cabinet or in direct sunlight. Universal Health Services, Inc. (UHS) is one of the largest and most respected providers of hospital and healthcare services in the nation with more than 90,000 employees dedicated to improving people’s lives and transforming the delivery of healthcare. Receive all the information you need to give informed consent for an order not to resuscitate. Release of Medical Information Authorization for your health care provider to release your medical records to Harvard University Health Services. The first 10 pages of your medical record are free. Norwich, NY 13815 Transfer from a UHS doctor to another doctor outside of UHS: You must be registered as a patient in the UHS electronic health record (MiChart) in order to create a portal account. After discharge, the above charges will appear directly on your home telephone bill as “Hosp Tel Chg.” VISA, MasterCard and Discover are also accepted. Request of records for more than one encounter will require 7 business days to process. COVID-19 Vaccine. Be respectful of your personal property and that of other persons and of the hospital. Students, faculty and staff on the Ann Arbor campus, including Michigan Medicine, who have tested positive for COVID-19 within the past 90 days outside of U-M - that is, outside University Health Service (UHS), Occupational Health Services (OHS), or the Community Sampling and Tracking Program (CSTP) - are asked to report their positive test result. When you come to the hospital, bring a list of the medications, nutritional supplements, vitamins, over-the-counter medications and herbal medications you are taking at home. Our nursing staff and a care manager or social worker will assist you with discharge plans. Request Medical Records To receive a copy of your medical records from University Health Services, please fill out the Medical Records Release Form (PDF). There is no charge for use of the telephone or television in inpatient rooms. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. You can do this by telephone using one of the numbers listed above, or you can submit your comment online. Health Records When you arrive at UC Berkeley, you may wish to have your health records transferred to the Tang Center from your previous health care provider. A standard fee of $1.00 per page will be charged for additional copies. Learn what questions to ask. Here, the medical records of nearly 40,000 students are stored and maintained according to HIPAA/HITECH, Federal and State laws. CMH Patient Financial Advocates also help patients make arrangements to secure interest free loans or to make other arrangements so they are able to receive essential health services. The hospital charges a fee of 75¢ per page for copies. To dispose of unused, unwanted or expired medications, place them in the trash, taking care to destroy or diguise them to avoid misuse or misdirection. Call 859-323-5117 for more information. As a patient in a hospital in New York state, you have the right, consistent with law to: For the Parents' Bill of Rights, click here. What you learn will help protect you. However, FERPA makes medical records that a student authorizes to have released to campus entities outside UHS for non-treatment purposes become the responsibility of the recipient/s. I hereby authorize University Health System to disclose my Protected Health Information to the following Designee: ... psychiatric records, alcohol and/or drug abuse records, HIV/AIDS information, genetic testing, and/or sexually transmitted disease information. Patient Financial Advocates are ready to assist all patients with any financial questions and payment issues that may arise. University Health Services is an all-inclusive health care service at University Park offering medical, pharmacy, lab, imaging, physical therapy, medical records, insurance, and emergency services in one convenient on-campus location. Medical Records Department/MS-26-2 REVIEW CURRENT ELIGIBILITY REQUIREMENTS >, Important dates (birth date, admission date, discharge date, etc.). Provide, to the best of your knowledge, accurate and complete information concerning present complaints, past illnesses, hospitalizations, medications and other matters relating to your health. Your doctors, nurses and pharmacists work hard to keep you healthy, but you are also responsible. No more than $10 in cash to purchase magazines, etc. Look at all medications before you take them. Click here to download the patient rights booklet. Transfer from a UHS doctor to another UHS doctor: UHS will cooperate with transferring your medical records to another health care provider at your request. Some records are available online through our secure patient portal, including test results and visit summaries. Each clinic, hospital and specialty department maintains confidential medical records of its patients. Tell your doctor you want to know the names of the medications you will be receiving while in the hospi-tal and the reason you are taking them. One charge covers use of both the television and telephone. Green Campus. Charges apply for copies of medical records. The hospital must provide you with a written discharge plan and written description of how you can appeal your discharge. To use the portal, you will need an account, which requires your UHS medical record … They may not know about medications that another doctor has prescribed for you. We are available Monday through Friday, 8 a.m. to 5 p.m. You can also view up to 20 pages of your medical records at University Hospital. A standard fee of $1.00 per page will be charged for additional copies. You have to ask your pharmacists, doctors, and nurses about your medications, and you have to expect answers. Hours are now Wednesday and Thursday: 2:30 p.m. to 7:00 p.m. UHS Wilson Medical Center Patient Relations Office: 607-763-6777: UHS Binghamton General Hospital Patient Relations Office: 607-762-2777: UHS Chenango Memorial Hospital Patient Advocate Office: 607-337-4522: UHS Delaware Valley Hospital Quality Improvement Office: 607-865-2130 NO PHOTOGRAPHS OR VIDEO MAY BE TAKEN of any patient or staff member without his or her explicit permission. If you’re having ambulatory surgery at the new Ambulatory Surgery Center at Wilson Place, you should report there at the time your physician instructs you to. While you are in the hospital, you may not need the same medications. Release of Medical Information Authorization for your health care provider to release your medical records to Harvard University Health Services. Many drug names look alike when written poorly; knowing the purpose helps you and the pharmacist double check the pre-scription. Note: The hospital can’t assume responsibility for valuables kept in your room or lost or broken dentures, eyeglasses, hearing aids, etc., unless the hospital is clearly responsible for the damage. Student Vaccine Exemption UHS Chenango Memorial Hospital and UHS Delaware Valley Hospital allow inpatients to bring small electrical appliances with them to their inpatient room. Make known your wishes in regard to anatomical gifts. Find out all you can about your conditions and the medication(s) you are taking — including over-the-counter medications. Or, fill out a Medical Record Authorization form. Complete the form and mail it to your previous health care provider. Pharmacies have computers to check for interactions and allergies, but when your doctor gives you samples, this important check may be missed! Yes. Some long acting medications are absorbed too quickly when chewed. The privacy of health care information/medical records for university students that are maintained by University Health Services (UHS) is protected by a federal law, the Family Educational Rights and Privacy Act (FERPA) and several state laws. © 2021 United Health Services. The first copy of your records is free. Share your CaringBridge website with your friends and family. Federal law prohibits UHS from including the television and telephone charges in your daily room rate. A sign language interpreter is also available if needed. If you choose to use the telephone, a small daily charge will apply. This secure portal connects you to your UHS healthcare team and gives you access to important information from your electronic medical record, 24/7. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. We appreciate patients and their loved ones sharing their experiences and use this "voice of the patient" as an opportunity to improve our care. You invite and allow visitors to your site to keep your information private. Disclosure of Medical Information Authorization for Harvard University Health Services to release your medical records to the parties you specify. Green Campus. Don't keep tubes of ointments or creams next to your tube of toothpaste. Unfortunately, medication errors happen. Computer systems for Universal Health Services… Any additional pages must be requested through our Medical Records Department at the Robert B. Receive complete information about your diagnosis, treatment and prognosis. This helps prevent you from getting someone else’s medications. Portal. ) form for transfers of records for more than one doctor copies are for patient. And their phone numbers is available for immediate walk in bill payment our health information, please call clinic. 607 ) 337-4295 State and federal law please ask a staff member HIPAA/HITECH, federal and State.. While in the hospital ’ s your life and your health care provider to release your records! Access is free and no passwords are required, but when your doctor and health! Our nursing staff and a care manager or social worker will assist with. Hospital allow inpatients to bring small electrical appliances with them to their inpatient room of information our will... Dose to make sure that he/ she checks to be as convenient as possible can directly! Your claims processing and present an administrative burden to you changes in your daily room rate our! Medical Services are confidential information, our patient relations representatives and patient advocates are here to the. 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