91制片厂在线看

Records Requests & Release

If you need your child鈥檚 medical records for yourself or a physician, or you want to make restrictions on who can see them, you鈥檙e in the right place.

Request a Copy of a Medical Record

You can request a full copy of a medical record if you are a:

  • Parent or legal guardian of a patient under the age of 18
  • Patient under the age of 18 with legal rights to consent for him/herself
  • Patient 18 years and older
  • Legal guardian of a patient 18 years or older with written patient consent
  • Legal guardian of a patient 18 years or older who doesn't have the capacity to consent

You may also authorize a physician or other individual or entity to have access to your child's medical record. Identify who you're authorizing to Receive Medical Records under the "Facility Receiving Medical Records" section of the form.

To submit your request, simply fill out, sign and send (via mail, email or fax) an Authorization to Release form. Requests are normally processed within 8-10 business days.

For personal copies of records to be sent to you via CD, fax or paper, a fee of $6.50 will apply.

We can upload a copy of your personal records via the 91制片厂在线看 app patient portal at no charge. Complete the Authorization to Access Form听.

Please note, records from another facility contained within the requested records may be released.

You may create a login for the , a secure, confidential and easy-to-use patient portal that gives patients and families 24-hour access to selected parts of their medical records. This free app helps patients and families easily manage and receive important health information. To get started or for more information go to 91制片厂在线看.org/91制片厂在线看 app, or call (844) 551-1351.

Release or Authorize a Medical Record Disclosure

If you would like a physician, other individual or entity to have access to your child鈥檚 medical record, you must fill out, sign and send an Authorization for Release Form, Subpoena or Court Order to the Health Information Management Department via mail, email or fax (see below). If you are completing the authorization form, please remember to identify who you鈥檙e authorizing under the 鈥淒isclose Medical Record To鈥 section of the form.

Revoke an Authorization

You can revoke, or cancel, a prior authorization to access your child鈥檚 medical records by submitting your request in writing. Be sure to include the date of the release you want revoked, sign the letter, and send it (via mail, email or fax) to the location you received care.

Note: 91制片厂在线看 is not liable for prior releases made under the initial authorization.

Restrict Access to a Medical Record

You can restrict a person or entity from seeing certain parts of your child鈥檚 medical record, like test results, treatments, etc. To do so, you must fill out, sign, and send (via mail, email or fax) a Request for Restriction Form聽 to the location you received care. Once your provider reviews the information, we鈥檒l contact you with the outcome of the request.

Fix a Medical Record Error

If you think there is an error on your medical record, fill out, sign, and send (via mail, email or fax) a Request for Amendment Form聽 to the location you received care. Once your provider reviews the information, we鈥檒l contact you with the outcome of your request.

Send a Medical Record to 91制片厂在线看

If you would like to send a copy of a medical record to 91制片厂在线看, send via:

Fax (Preferred): (302) 295-0718

E-mail: nemhimreferralteam@nemours.org

To send medical records to 91制片厂在线看 Children's Health Specialty Care by fax:

ORL: (407) 650-7124

PNS: (850) 473-4543

DE: (302) 295-0718

JAX: (904) 697-3927

To send medical records to 91制片厂在线看 Children's Health Primary Care by fax:

DE: (302) 298-8995

ORL/CHA: (321) 388-0111

The following information must be visible on all documents prior to sending:

  • Sender's name
  • Sender's contact information
  • Two patient identifiers
  • Number of pages sent

Medical Records Contacts

Please send all medical record request forms, subpoenas or court orders to the address, fax or email below. A Release of Information representative from the Health Information Management Department will be available to assist you with your request for protected health information.

Health Information Management
1600 Rockland Rd
Wilmington, DE 19803
Phone: (866) 956-7299, choose option #1
Fax: (302) 651-4480

Submit Form Online
Email your completed form (for any location) to:聽patientrecords@nemours.org.