Medical Record Request Form - East Alabama Medical Center 2025

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The document is an authorization form for the release of protected health information from East Alabama Medical Center. It requires patient details, specifies the information to be released, and outlines delivery methods and associated fees. The form emphasizes the voluntary nature of signing, potential risks of disclosure, and provides instructions for revocation and expiration of the authorization.
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Starting in 2021, a new federal rule made it easier for patients and Medicaid recipients to access their medical records. Alabama Medicaid recipients and Alabama patients can view their health information from their smartphone or mobile device through a health application (app) of their choice.
Can a doctor charge me for copies of my medical records or x-rays? Yes, pursuant to Health Safety Code section 123110, a doctor can charge 25 cents per page plus a reasonable clerical fee. For diagnostic films, such as an x-ray, MRI, CT and PET scans, you can be charged the actual cost of copying the films.
If your doctor offers a web portal, you may be able to easily view and download your health information whenever you want. There are a few exceptions to getting your information, but you cant be denied access for not paying your medical bill.
I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses notes; test results; consultations with specialists; referrals).]
Did you get a new job, or decide you want to try out a new area? Whatever the reason behind your move, you will also need copies of your medical records. Your new physician will want to see copies of your medical records to ensure they are up to date on your medical past.

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East Alabama Medical Center Medical Records fax number My EAMC Patient Portal login EAMC Patient Portal sign up East Alabama Medical Center Locations East Alabama Medical Center billing East Alabama Medical Center patient advocate East Alabama Medical Center Security EAMC email login

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People also ask

Incomplete Requests: Sometimes, requests may be incomplete or lack necessary information, which can delay processing as staff need to contact the patient for clarification. Staffing Issues: Staff shortages or high turnover rates in administrative roles can also contribute to delays in processing record requests.
Check their website: Information about how to get your health record may be found under the Contact Us section of a providers website. It may direct you to an online portal, a phone number, an email address, or a form. Phone or visit: You can also call or visit your provider and ask them how to get your health record.

Related links

Encompass Health Corporation

Dec 31, 2020 Employer. Identification No.) 9001 Liberty Parkway. Birmingham, Alabama 35242. (Address of Principal Executive Offices). (205) 967-7116.

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AUMC Contact Information

Contact Information ; Billing Insurance, 334-844-6137 ; Medical Records Email, aumcmedrecords@eamc.org ; Medical Records Fax, 334-528-5416 ; Lab Fax, 334-844-0618.

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East Alabama Medical Center

East Alabama Medical Centers mission is high quality, compassionate health care, and that statement guides everything they do. They set high standards for

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