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Kaiser permanente hawaii medical records 2025

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The document is an authorization form for the release of protected health information from Kaiser Permanente in Hawaii. It includes sections for patient identification, details on the information being requested, the purpose of the request, and consent for disclosing sensitive health information. The form outlines the duration of the authorization, revocation rights, and conditions under which treatment may not be conditioned on providing this authorization.

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Click ‘Get Form’ to open the Kaiser Permanente Hawaii Medical Records authorization form in the editor.
Begin by entering your Patient Name, MRN, DOB, and last four digits of your SSN in the designated fields. Ensure accuracy as these details are crucial for identification.
Specify the entity authorized to release your information by filling in 'Kaiser Permanente' and any other facility or provider if applicable.
Indicate the type of information you wish to disclose or obtain by checking the appropriate boxes such as 'Both Hospital and Clinic Records' or 'Lab Results'.
Select your preferred method of receiving records (e.g., electronic media, paper copies) and provide an email address if necessary.
Complete the purpose of disclosure section by selecting from options like 'Continuing Care/Treatment' or 'Legal Purposes'.
Sign and date the form at the bottom. If someone else is signing on your behalf, indicate their relationship to you.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I request my medical records via email?

It is not a HIPAA violation to email medical records provided the communication is permitted by the HIPAA Privacy Rule, that safeguards are in place to comply with the HIPAA Security Rule, and if emailing medical records to a patient that the patient has consented to receiving PHI by email.

What is the easiest way to obtain medical records?

Fees in Hawaii run not less than five cents per page for copying, ($2.50 per fifteen minutes of search time, and $5.00 for an agency review and segregation of the records).

How do I get my medical records in Hawaii?

You may use the State of Hawaii Office of Information Practices form to submit your request: Request to access a government record. The completed form may be submitted to the following programs to request their public health records.

Does Kaiser have access to MyChart?

MyChart is already available through kp.org and the Kaiser Permanente app, so you dont need to create a separate MyChart account. When you sign in to your kp.org account, youll see your MyChart updates under Health feed. They include important new information about your care, like: Messages from your care team.

How much does it cost to obtain public records in Hawaii?

The health care provider shall retain medical records in the original or reproduced form for a minimum of seven years after the last data entry except in the case of minors whose records shall be retained during the period of minority plus seven years after the minor docHubes the age of majority.

kaiser hawaii medical records

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Can I pull up my medical records online?

Ask your doctor. You have the right to see and get copies of your health information. In most cases, you can get a copy the way you want it, such as by e-mail. While your doctor normally has up to 30 days to provide you a copy of your information, your doctor often can provide the information much sooner than that.