Vidant medical records 2025

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4.8 out of 5

123 votes

The document is an authorization form for the release of Protected Health Information (PHI) from various Vidant Health facilities. It includes sections for patient information, details on who will provide and receive the information, methods of transmission, reasons for the request, and specific types of health information to be disclosed. The form emphasizes that signing is voluntary and outlines the patient's rights regarding revocation and understanding of potential risks associated with the release of sensitive health data.

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Click ‘Get Form’ to open the vidant medical records in the editor.
In Section A, enter the patient's name and any prior names. Fill in the street address, last four digits of the Social Security Number, city, state, zip code, and telephone number.
Proceed to Section B to specify who will provide the information. In Section C, indicate who will receive it by filling in the Vidant Health Entity's name, address, and phone number.
In Section D, choose how you want the information sent or received: via mail, pick up, or email. If selecting email, provide an email address.
Section E requires you to describe the reason for your request. Select from options like attorney/legal or personal use.
In Section F, detail the specific Protected Health Information needed and include relevant dates.
Review Sections G and H for understanding and expiration details before signing in Section I. Ensure all signatures are completed as required.

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Versions	Form popularity	Fillable & printable
2023	4.1 Satisfied (45 Votes)
2023	4.3 Satisfied (27 Votes)
2023	4.1 Satisfied (45 Votes)
2022	4.8 Satisfied (52 Votes)
2021	4.2 Satisfied (40 Votes)
2021	4.8 Satisfied (61 Votes)
2021	4.7 Satisfied (124 Votes)
2021	4.8 Satisfied (145 Votes)
2021	4.8 Satisfied (89 Votes)
2021	4.8 Satisfied (49 Votes)
2021	4.5 Satisfied (36 Votes)
2021	4.8 Satisfied (31 Votes)
2020	4.8 Satisfied (51 Votes)
2020	4.5 Satisfied (50 Votes)
2020	4.8 Satisfied (39 Votes)

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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.

How to look up someones medical record?

To receive a copy of your loved ones health records as a Personal Representative, you typically must ask for it in writing. In some cases, the hospital or doctors office may have a form to request the records. Even with the legal right, however, this can prove to be a challenging process.

How do I get my medical records asap?

How you make your request will depend on your providers processes. You may be able to request your record through your providers patient portal. You may have to fill out a form called a health or medical record release form, or request for accesssend an email, or mail or fax a letter to your provider.

How can I access my old hospital records?

To obtain a copy of your hospital records you will need to apply in writing to the hospitals records manager at the hospital where you received your treatment.

How long does it take to get full access to medical records?

This can be quicker than getting access to your full historic record. The surgery will consider your request and make sure there are no issues with making the information available to you (for example, if it could put you or someone else at risk of harm). This can take a few weeks.

How much does it cost to get medical records in SC?

South Carolina: For paper and electronic copies, 83 per page for the first 30 pages, 63 per page for each additional page, plus a $32.06 clerical fee. For paper copies, altogether these fees cannot exceed $256.58, and for electronic records, these combined fees cannot exceed $192.44.

patient release

ECU Health Medical Records ECU Medical records fax number Vidant Health MyChart login Vidant Health login Vidant health MyChart sign up MyChart login ECU Health ECU Health Vidant Vidant Medical Center

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.

What is the fastest way to get your medical records?

If your provider has a designated medical records department, contact them directly. Provide any reference numbers, confirmations, or details you received when submitting your request. It will help your provider quickly locate your file.

Is Vidant Health the same as ECU Health?

ECU Health (formerly Vidant Health) is a not-for-profit, 1,447-bed hospital system that serves more than 1.4 million people in 29 Eastern North Carolina counties. The health system is made up of nine hospitals and more than 12,000 employees.