Health information management in Spanish

Health Information Management Services (HIMS/Medical Records) COVID-19 Measures
At the City of Hope, your fitness is our maximum priority. We are taking all vital precautions to shield our sufferers and workforce because the COVID-19 state of affairs keeps evolving, such as handiest permitting sufferers to select their fitness facts/scientific data, on the day of their scheduled appointment at the City of Hope. NOTE: If you do now no longer have a scheduled appointment, you may now no longer be allowed to go into the facility. We recognize the significance of imparting you with copies of your fitness facts/scientific data and could hold to achieve this in a well-timed manner.
How To Obtain Your Health Information/Medical Records
Request A Correction To Your Health Information/Medical Records
Authorization Forms To Complete
How To Process Your Disability Forms

How To Obtain Your Health Information/Medical Records

The city of Hope acknowledges your proper to get the right of entry to, achieve a duplicate or request to correct your fitness facts/scientific data maintained with the aid of using the City of Hope. When you or your legal consultant or a 3rd party (e.g., coverage company) request fitness facts/scientific data, we uphold strict hints adhering to national and federal privacy statutes whilst processing requests. All requests for fitness facts/scientific data are treated with the aid of using City of Hope`s Health Information Management Services (HIMS) Department Release of Information Team.

Please be conscious that the City of Hope, with the aid of using the law, can handiest launch facts which you have especially asked for and certified in your request shape. If no precise path is given, a Release of Information (ROI) professional will touch you for clarification. Thank you earlier for your understanding.

The city of Hope keeps data for each City of Hope National Medical Center (Duarte) and all of City of Hope’s network exercise sites.

Below are the strategies with the aid of using that you or your legal representatives may also request and achieve copies of your fitness facts/scientific data.
Patient Portal: To sign up in our affected person portal, check with MyCityofHope FAQ web page for greater facts.
Walk-Ins: Walk-ins will handiest be authorized on the day of your scheduled appointment. NOTE: If you do now no longer have a scheduled appointment, you may now no longer be allowed to go into the facility.
Locations wherein you can achieve an authorization shape and/or drop off your finished shape, include:
Download and whole our Authorization to Release or Obtain Health Information/Medical Records
City of Hope National Medical Center in Duarte, California, HIMS Correspondence workplace positioned close to the Social Work Department, Office 1221B. Hours of operation:

Monday thru Thursday eight a.m. to four p.m., closed for lunch from noon to at least one p.m.

During closed hours, the day of your scheduled appointment, you can nonetheless request your fitness facts/scientific data with the aid of using acquiring and losing your finished authorization shape at our drop-off field positioned after the HIMS correspondence workplace.
Community exercise sites (Completed requests may be routed to our centralized HIMS Department as appropriate).
Phone: Requests can be initiated over the telecellsmartphone with the aid of using calling 626-218-2446. An agent will offer an appropriate bureaucracy to finish your request.
Fax: Completed authorizations can be faxed over to 626-218-8443.
Email: Completed authorizations can be emailed to himsroi@coh.org.
Mail: Completed authorizations can be mailed to:
Health Information Management Services (ROI)

Authorization Forms To Complete

Please cautiously evaluate the subsequent facts to expedite your fitness facts/scientific report request. Completed bureaucracy can be forwarded to the Health Information Management Services (HIMS) Department following the strategies above.

Information on Obtaining your Health Information/Medical Records—For you or your legal consultant, describing what to anticipate and what’s commonly furnished whilst inquiring for copies of your fitness facts/scientific data — generally for non-public use, which includes constructing your non-public fitness report

Download the Information on Obtaining your Health Information/Medical Records Form – English

Authorization to Release or Obtain Health Information/Medical Records—To be finished with the aid of using you or your legal consultant to achieve copies of your very own fitness facts/scientific data — OR — to authorize the City of Hope to launch your fitness facts/scientific data to a person apart from yourself — normally any other facility or company for the continuity of your care, or coverage facts or nation incapacity bureaucracy, etc. — OR — for City of Hope to achieve copies of your fitness facts/scientific data from any other company
Download the Authorization to Use and Disclose Protected Health Information Form – English
Download the Authorization to Use and Disclose Protected Health Information Form – Spanish

Request to Make a Correction to Your Health Information/Medical Records —To be finished with the aid of using you or your legal consultant in case you discover an blunder in your fitness facts/scientific data
Download the Request for Amendment of Protected Health Information Form – English

Share Your Patient Portal (MyCityofHope) Access with Your Authorized Representative—To be finished with the aid of using you and your legal consultant (additionally referred to as a delegated proxy) who would like to get the right of entry to for your affected person portal (MyCityofHope). From the affected person portal, you or your legal consultant can securely and effortlessly request your fitness facts/scientific data and they’ll be uploaded onto your affected person portal account (or your distinct proxy`s account).

Download the Adult Proxy Authorization Form – English

Access Your Child`s Patient Portal (MyCityofHope)—To be finished with the aid of using the affected person`s figure or felony parent who would like to get the right of entry to the affected person portal (MyCityofHope). From the affected person portal, the affected person`s figure or felony parent can securely and effortlessly request fitness facts/scientific data and they’ll be uploaded onto the affected person portal.

Who Has Received My Health Information/Medical Records?—To be finished with the aid of using you or your legal consultant in case you would like to request a list (additionally known as an “accounting”) of who has acquired your fitness facts/scientific Takedietplan data. NOTE: Time frames that can be asked might not exceed six years and releases made for treatment, fee, and fitness care operations will now no longer be included.

If you’ve got questions on the repute of your request after submission, please name our centralized Health Information Management Services (HIMS) Department at 626-218-2446. Please permit 5 running days to skip earlier than inquiring for repute.