To request information about inpatient or outpatient mental health records, please send the form to: To request information about X-rays or other radiological images, including CT scans, MRIs and ultrasounds (radiological images are released on CD), send the form to: To request information about services provided at Primary Care Centers, send the form to the Primary Care Center where service was provided. To request information about services provided at Specialty Care Centers, send the form to the Specialty Care Center where service was provided. *If a test was ordered by a physician who is not affiliated with Children's Hospital, please contact that physician directly. To request information about outpatient services (i.e., doctor visits, blood tests) provided at the Philadelphia or King of Prussia Hospital Campus,* send the form to the department where service was provided or call 21 to reach the appropriate department. Outpatient services provided at Urgent Care Center, Same Day Surgery, Children’s Seashore House (i.e., occupational or physical therapy, speech, rehabilitation) send the form to:.Inpatient services provided at the Philadelphia or King of Prussia Hospital Campus or Children's Seashore House, including Emergency Department visits and stays lasting 23 hours or longer or.Send the completed form to Health Information Management (HIM) for the inpatient and outpatient services below: If you pick up a copy of the medical record in person, we will ask for photo identification. This may result in a delay in fulfilling your request. If you wish to make your request in-person or pick-up your records in-person, please call ahead to the department so that appropriate arrangements can be made for a safe visit. As soon as we can complete your request, it will be provided or sent.Īuthorization to Release/Obtain Patient Information (PDF)Īutorizaci ón para obtención/divulgación de información sobre el paciente (PDF) - Spanish Due to the large volume of requests and compliance regulations, production or copies of medical records are not immediately available. To support and participate - through advocacy and action - in efforts to improve the well-being of children.To request a copy of your/your child's medical record complete a request form and send it by email or fax to the number below. ![]() ![]() To develop and support programs, in collaboration with other individuals, organizations, and agencies, to translate research findings into practice and to advance children's health in the communities we serve and.Through research, to develop knowledge and understanding of the health and related problems encountered by children, of the services received by them, and of the systems involved in delivering those services.To educate and train current and future providers of children's health care in the knowledge, attitudes, and skills necessary to offer excellent general pediatric care to their patients and to improve the health of children in their communities.To provide the highest quality comprehensive pediatric care for patients, with particular attention to children with complex and chronic conditions, children with special health care needs, and children who lack optimal access to health care.Our mission is to promote the well-being of children through clinical service, education, research, program development, and advocacy.
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