The information can be provided via fax, secure email (up to 5 MB), or paper copies based on the delivery method chosen on the authorization form. How is the information requested provided to me?
All supporting documents may be faxed to 98, emailed to mailed to 1717 Sharon Road West, Charlotte, NC 28210.ģ. Documentation of this must be provided from a physician. Along with the completed authorization, a copy of the paperwork (Healthcare Power of Attorney, Guardianship, etc.) with a photocopy of your valid, government issued photo ID must be submitted. Healthcare Power of Attorneys may only request records if the patient is currently incapacitated. Only parents, legal guardians, or Healthcare Power of Attorney may request records for a client or former client by completing the authorization found here or by using the form above. You may request your medical records by filling out the HopeWay authorization. Once completed, please email the authorization to fax it to 98 or mail it to 1717 Sharon Road West, Charlotte, NC, 28210 for processing.Ģ. How do I request medical records for someone else? If there are further questions, please contact us by phone at 98 or email at Records FAQ Please take a moment to review the FAQs below. Health Information Management: Medical RecordsĪll requests for medical records, FMLA, short-term disability forms, and long-term disability forms are handled by the Health Information Management Department.
Substance Use Disorders with a Primary Psychiatric Diagnosis.Schizophrenia Spectrum and Other Psychotic Disorders.
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