Medical Records Request - Athens Orthopedic Clinic 2025

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New York State Law requires all health care practitioners and facilities to allow patients to have access to their health records. However, some restrictions may apply. This form describes your rights, what information is available and how to appeal if access to health records is denied.
Yes. If requested by an individual, a covered entity must transmit an individuals PHI directly to another person or entity designated by the individual. The individuals request must be in writing, signed by the individual, and clearly identify the designated person or entity and where to send the PHI.
They can only see the information they need to use in order for them to do their job properly and help you manage your health. This means that your doctor will see much more of the information in your record than the receptionist does.
Medical records are typically shared electronically between all healthcare providers, including doctors, hospitals, healthcare organisation systems, pharmacies, laboratories, clinics, medical imaging facilities, and any other health care provider who might benefit from seeing patient records.
I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses notes; test results; consultations with specialists; referrals).]
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