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How do I write a letter of request to a hospital?

Please notify me immediately as to how you intend to resolve this. My hospital bill from [HOSPITAL NAME] has been sent to you for collection. I believe that I should have been offered and granted financial assistance for the medical services that I received at [HOSPITAL NAME] on [INSERT DATE(S) OF SERVICES].

How do I obtain my medical records?

Need help with your record request? For urgent requests, phone: (09) 307 4949 ext 22288. For non-urgent requests email GROI@adhb.govt.nz or mail the above address.

What is the purpose of release of information?

Release of information (ROI) is the process of providing access to protected health information (PHI) to an individual or entity authorized to receive or review it.

What is a release authorization form?

This form is used to release your protected health information as required by federal and state privacy laws. Your authorization allows the Health Plan (your health insurance carrier or HMO) to release your protected health information to a person or organization that you choose.

How long is a medical record release Good For?

There's no statutory time period within which a release must expire. However, under HIPAA, an authorization to release medical information must include a cutoff date or event that relates to who's authorizing the release and why the information is being disclosed.

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