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Authorization for Release of Health Information - Northwell Health

Authorization for Release of Health Information - Northwell Health 2025

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The document is an authorization form for the release of health information in accordance with HIPAA and New York State Law. It outlines the patient's rights regarding the disclosure of sensitive health information, including mental health, alcohol and drug treatment, and HIV-related information. The form requires patient details, specifies what information is to be released, and includes sections for patient consent and signature.

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How do I contact Lenox Hill Hospital billing?

If you have any questions regarding your billing statement, you can contact the Patient Financial Services Department at (212) 434-3005.

What was the old name for Northwell?

North Shore-LIJ Health System transformed into Northwell Health after finding its long name didnt connect with its patient population. North Shore-LIJ Health Systems long name wasnt resonating with its patient base, so the New York system decided to rebrand and reconnect with the communities it serves..

How do I get my medical records from Lenox Hill Hospital?

Our Health Information Management Office can help patients access copies of medical records. Copies of medical records are available for patients and physicians with the proper authorization. Contact the Lenox Hill Hospital Health Information Management Office at (212) 434-2420.

What is the release of information process in healthcare?

What is release of information (ROI)? Release of information is the process of providing access to protected health information (PHI) to an individual or entity authorized to receive it. Even with electronic health records, the process is complicated and governed by both federal and state regulations.

Authorization for Release of Health Information - Northwell Health 2025

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