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Cleveland clinic background information release form 2025

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The document is a Background Information Release Form for individuals 18 years or older applying for employment, volunteering, or contractor positions at the Cleveland Clinic Foundation. It authorizes the clinic to conduct background checks and includes a section for disclosing any criminal convictions. The form requires personal information such as name, social security number, and contact details.

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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.

How do I get a copy of my medical records in Ohio?

Option 1: Request medical records online (eRequest) through HealthMark. Request fulfilled in approximately 3 days. Option 2: Submit a written request: Step 1: Fill out Authorization Release of Information form.

What is the main phone line for Cleveland Clinic?

Call Cleveland Clinic Were here to answer your questions and help you find the best care. You can reach us toll-free at 800.223. 2273.

What is the phone number for the Cleveland Clinic release of information?

There may be a fee associated with requests for legal, insurance claims, or personal use purposes. If you have any questions or need additional information, contact Health Information Management at 216.444. 5580. Hours are 8 a.m. - 5 p.m., Monday - Friday.

How do I get images from Cleveland Clinic?

The MyImages website is used by patients to request radiology images from the Image Library at Cleveland Clinics main campus. The Image Library has most radiology images generated at Cleveland Clinic. Only the patient or his/her legal guardian may request delivery of images.

What medical record system does Cleveland Clinic use?

The MyPractice Community electronic health record system is the same system used in all Cleveland Clinic facilities. It is composed of an integrated suite of software modules created by Epic Systems, a recognized leader in healthcare information technology.

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What is the fastest way to get medical records?

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.