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PATIENT ACCESS REQUEST FOR HEALTH - Allina Health

PATIENT ACCESS REQUEST FOR HEALTH - Allina Health 2025

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47 votes

The document is an authorization form from Allina Health for patients to request the release and disclosure of their medical records. It includes sections for patient information, the source of records, recipient details, purpose for release, specific information to be disclosed, preferred method of delivery, and duration of authorization. The form outlines the patient's rights regarding their health information and provides contact details for further inquiries.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (156 Votes)
2015	4.3 Satisfied (191 Votes)
2013	4.2 Satisfied (47 Votes)
2011	4.4 Satisfied (183 Votes)

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Got questions?

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 a patient access request?

Section 123110 of the Health Safety Code specifically provides that any adult patient, or any minor patient who by law can consent to medical treatment (or certain patient representatives), is entitled to inspect patient records upon written request to a physician and upon payment of reasonable clerical costs to make

What are the process involved in patient access?

While logistical elements such as geographic location and transportation certainly factor into how easily a patient can get care, patient access tends to focus on the administrative processes involved in scheduling and registration, verifying insurance coverage, appointment management, patient billing and payments, and

What is the largest hospital in the Allina?

United Hospital is the largest hospital in the Twin Cities east metro area, providing a full range of health care services to more than 200,000 people each year.

Are allina and HealthPartners the same?

The Northwest Metro Alliance is a long-term collaboration between Bloomington, Minnesota-based HealthPartners and Minneapolis-based Allina Hospitals and Clinics that is focused on achieving the Triple Aim of healthcare (high quality care, exceptional patient experience, and affordabil- ity) for more than 300,000

What is the patient access rule?

The Interoperability and Patient Access final rule (CMS-9115-F) aims to put patients first, giving them access to their health information when they need it most and, in a way, they can best use it.

Does Allina Health use MyChart?

The Allina Health account is your all-in-one patient portal to manage health carefor yourself and the whole familyall from your smartphone, computer or tablet, 24/7. It combines your MyChart electronic health record with online tools and features to make health care easier, faster and more efficient.

What does someone in patient access do?

Collecting patient information, including medical history, billing and insurance information and primary care provider information. Preparing documents for admitting and discharging patients from the hospital. Entering information into hospital database and ensuring the accuracy of patient records.

PATIENT ACCESS REQUEST FOR HEALTH - Allina Health 2025

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