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Eskenazi hospital medical records 2025

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The document is a Patient Medical Records Access Request form from Eskenazi Health, located in Indianapolis, Indiana. It requires patients to provide personal information and specify the medical records they wish to access or release, including options for the receiving party and format of delivery. The form outlines the patient's rights regarding the authorization, potential fees, and confidentiality of sensitive health information. It also includes sections for signatures and legal representation if necessary.

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2018	4.8 Satisfied (72 Votes)

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

Are medical records public?

Only you or your personal representative has the right to access your records. A health care provider or health plan may send copies of your records to another provider or health plan only as needed for treatment or payment or with your permission.

What did Eskenazi hospital used to be called?

Wishard Memorial Hospital was renamed Eskenazi Health, and a historic move to a brand-new, 1.3 million square-foot downtown campus and hospital signified a change for not only the organization but all of Indianapolis.

Can you request medical records through mychart?

0:00 0:28 You can now request to have your medical records released directly in My Chart. Once youve logged.MoreYou can now request to have your medical records released directly in My Chart. Once youve logged. In select request records complete the requester. Information and the type of record.

What is the easiest way to get medical records?

Although not mandatory, using the NA Form 13042 is the recommended method to send a request for medical records/information. This form captures all the necessary information to locate a medical record. Please provide as much information on the form as possible. Follow the instructions for preparing the NA Form 13042.

How do I access my military medical records?

To request a complete copy of your health record, youll need to submit a Request Pertaining to Military Records (SF 180) to the applicable organization as identified on the form. Requests can also be made in person to your last home military hospital or clinic.