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You and Your Health Records - New York State Department of

You and Your Health Records - New York State Department of 2025

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The document is an authorization form from Cornerstone Family Healthcare, allowing patients to consent to the access of their electronic health information through the HealtheConnections health information exchange. It outlines the patient's rights regarding consent, the types of information that may be accessed, how it can be used for healthcare services, and the process for changing or denying consent. The form emphasizes that consent does not affect medical care or insurance coverage decisions.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Patient Name and Date of Birth in the designated fields. This information is crucial for identifying your health records.
If applicable, fill in any Other Names Used, such as a Maiden Name, to ensure all records are accessible.
Review the consent options carefully. Choose either to GIVE CONSENT or DENY CONSENT by checking the appropriate box. Remember, this choice can be changed later.
Sign the form using our platform’s signature feature. If you are a legal representative, include your printed name and relationship to the patient.
Once completed, save your document and share it as needed. Our platform allows for easy distribution of your signed form.

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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.

What is the New York state law on medical records?

By law, a patients records are defined as records relating to the health history, diagnosis, or condition of a patient, or relating to treatment provided or proposed to be provided to the patient. Physicians must provide patients with copies within 15 days of receipt of the request.

Can I access my health records online?

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.

Is my health record NY legit?

My Health Record NY is a secure online service for anyone who has received care in New York State. You can find your information in My Health Record NY if your provider shares data with Healthix (the New York City/Long Island Health Information Exchange) or Hixny (the HEI serving the greater Capital Region).

Where and how can I get my New York medical records?

For NYC Health + Hospitals Hospital records, you may call 866-390-7404. This service is available Monday through Friday from 8am to 4 pm EST.

What is the New York State Public Health Law 17?

New York lawmakers passed a health information privacy bill that, among other obligations, would require entities to obtain authorization to collect, use, or sell an individuals health information unless it is strictly necessary for certain purposes.

What is legally required when dealing with medical records?

information obtained from other examining or treating practitioners which may be requested from the other practitioners directly; when other provisions in law prevent the release. For example, Public Health Law, Section 17 prevents release to parents or guardians of some types of childrens medical records.

What is the New York state law regarding medical records?

New York State Law gives patients and other qualified individuals access to medical records. There are some restrictions on what may be obtained and fees may be charged by physicians, other health care professionals and facilities for providing copies.

You and Your Health Records - New York State Department of 2025

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What is the New York state law on medical records?

Can I access my health records online?

Is my health record NY legit?

Where and how can I get my New York medical records?

What is the New York State Public Health Law 17?

People also ask

What is legally required when dealing with medical records?

What is the New York state law regarding medical records?

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You and Your Health Records - New York State Department of 2025

Here's how it works

How to use or fill out You and Your Health Records - New York State Department of with our platform

See more You and Your Health Records - New York State Department of versions

Complete this form in 5 minutes or less

Got questions?

What is the New York state law on medical records?

Can I access my health records online?

Is my health record NY legit?

Where and how can I get my New York medical records?

What is the New York State Public Health Law 17?

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People also ask

What is legally required when dealing with medical records?

What is the New York state law regarding medical records?

Try more PDF tools