Request for Medical CareOPS20101220 - HSHS Medical 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name of the physician or health care provider in the designated field, along with their address details.
  3. Next, fill in the requestor's information, including their name and address.
  4. Provide the patient's name and date of birth. Ensure that all details are accurate to avoid any delays.
  5. Select the specific medical records you wish to disclose by checking 'Yes' or 'No' for each category listed, such as mental health records or immunization records.
  6. Indicate the time period for which the information should be released by filling in the start and end dates.
  7. Specify the purpose of this authorization in the provided space, ensuring clarity on why this information is needed.
  8. Finally, sign and date the form at the bottom. If applicable, include your relationship to the patient if you are not signing as them.

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HSHS operates a network of 15 hospitals and other healthcare facilities throughout the midwestern U.S. states of Illinois, and Wisconsin. HSHS also operates St. Johns College, the oldest Catholic hospital based nursing school in the United States.
HSHS reported total revenue of $2.8 billion for the year ended June 30, down from $2.9 billion posted over the same period last year. 2. Total expenses were $3.2 billion in 2024, up from $3 billion in 2023. Salary and wage expenses were $934 million in 2024, down from $955.4 million over the same period last year.
President and CEO Damond W. Boatwright, MHA, MHS, FACHE began his service with Hospital Sisters Health System (HSHS) as president and chief executive officer in June 2021.
Today, with 13 hospitals, scores of community-based health centers and clinics, over 1,000 physician partners, and more than 11,000 colleagues, HSHS is committed to its mission to reveal and embody Christs healing love for all people through our high-quality Franciscan health care ministry.
10 of the largest US healthcare companies by revenue | 2024 UnitedHealth Group: $371.6 billion. CVS Health: $357.8 billion. McKesson: $301.5 billion. Cencora: $271.6 billion. Cardinal Health: $216.2 billion. Cigna: $195.3 billion. Elevance Health: $170 billion. Centene: $154 billion.

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Contact NGHS Medical Records at 770-219-0500 to request online access to your images. Youll receive an email from Nuance PowerShare Network. Follow the prompts in the email to create your patient PowerShare account. Log in to your account any time on a laptop or computer.