If you would prefer to print out a paper Medical Records Request form and submit it by mail or fax, click here to download. If you are not an Ascension Via ...

❏ Specify Facility and Address below, including phone/fax if known. Release Information TO: Specify Facility and Address below, including phone/fax if known.

If I have questions about disclosure of my health information, I can contact the Health Information Management Department at 248-652-5221. ... I understand that ...

Оценка 2,8 (5) 929 N St Francis St, Wichita, KS 67214, USA ; (316) 268-1381 ; Order Your Records ...

Ascension Via Christi Medical Records 2014-2024 Form ... (Specify) Name: Address: Address: City: City: State: Zip: State: Phone: Fax: Phone: Zip: Fax: Describe ...

You or a representative may request records online via the links below or by downloading a Release of Information form (Spanish version) to complete and fax or ...

1 Mt Carmel Way Pittsburg, KS 66762 Phone: (620) 231-6100 Fax: (620) 232-0493 Hours: Open 24 Hours Call Now

12 июн. 2024 г. · Ascension Via Christi facilities in Manhattan and Wamego have restored access to their electronic patient documentation systems.

The physician office must fax a written request on their letterhead to (678) 325-0357 indicating the patient's name, date of birth, date of visit and the name ...