{"id":2671,"date":"2021-03-02T06:28:17","date_gmt":"2021-03-02T06:28:17","guid":{"rendered":"https:\/\/chinesehospital-sf.org\/?page_id=2671"},"modified":"2023-11-29T10:47:32","modified_gmt":"2023-11-29T18:47:32","slug":"medical-records","status":"publish","type":"page","link":"https:\/\/chinesehospital-sf.org\/medical-records\/","title":{"rendered":"Medical Records"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-page pdfprnt-top-right\"><a href=\"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/pages\/2671?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\"><img decoding=\"async\" src=\"https:\/\/chinesehospital-sf.org\/wp-content\/uploads\/pdf-print-buttons\/pdf_button.png?1243516220\" alt=\"image_pdf\" title=\"View PDF\" \/><span class=\"pdfprnt-button-title pdfprnt-button-pdf-title\">Download PDF<\/span><\/a><a href=\"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/pages\/2671?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\"><img decoding=\"async\" src=\"https:\/\/chinesehospital-sf.org\/wp-content\/uploads\/pdf-print-buttons\/print_button.png?1325193207\" alt=\"image_print\" title=\"Print Content\" \/><span class=\"pdfprnt-button-title pdfprnt-button-print-title\">Print this page<\/span><\/a><\/div>[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;5%&#8221; bottom_padding=&#8221;8%&#8221; left_padding_desktop=&#8221;10%&#8221; constrain_group_2=&#8221;yes&#8221; right_padding_desktop=&#8221;10%&#8221; left_padding_tablet=&#8221;0&#8243; constrain_group_4=&#8221;yes&#8221; right_padding_tablet=&#8221;0&#8243; left_padding_phone=&#8221;0&#8243; constrain_group_6=&#8221;yes&#8221; right_padding_phone=&#8221;0&#8243; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_direction_desktop=&#8221;default&#8221; column_element_spacing=&#8221;default&#8221; desktop_text_alignment=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_backdrop_filter=&#8221;none&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; column_position=&#8221;default&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][vc_custom_heading text=&#8221;How to request a copy of your medical records&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;red-text&#8221;][vc_column_text]Print and complete the Authorization for Disclosure of Health Information form or or send a written request with your medical record number, full name at the time of treatment and your signature to authorize the release of this information. If you do not have your medical record number, please provide your birth date and Social Security number.<\/p>\n<ul>\n<li><a href=\"https:\/\/chinesehospital-sf.org\/wp-content\/uploads\/2021\/03\/Authorization_for_Release_09042020.pdf\" target=\"_blank\" rel=\"noopener\">Authorization Form (PDF)<\/a><\/li>\n<\/ul>\n[\/vc_column_text][vc_column_text]You may<\/p>\n<ul>\n<li>Mail the request along with a clear copy of a government-issued ID to:<br \/>\nChinese Hospital Medical Records\/Health Information Management Department<br \/>\n845 Jackson Street, San Francisco, CA 94133<\/li>\n<li>Fax the request to 1-415-677-2448<\/li>\n<li class=\"vc_custom_heading red-text\">Email the request to <a title=\" create new email\" href=\"mailto:HIMDept@chasf.org\">HIMDept@chasf.org<\/a><\/li>\n<li class=\"vc_custom_heading red-text\">Drop off the request in person to:<br \/>\nChinese Hospital Medical Records\/Health Information Management Department<br \/>\n845 Jackson Street, 1\/F, San Francisco, CA 94133<\/li>\n<\/ul>\n[\/vc_column_text][vc_custom_heading text=&#8221;Requests may be subject to the following fees:&#8221; font_container=&#8221;tag:h3|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;red-text&#8221;][vc_column_text]\n<ul>\n<li>Clerical Fee: $15.00<\/li>\n<li>Copying: $0.12 per page<\/li>\n<li>Personal Appearance: $35.00<\/li>\n<li>CD: $25.00<\/li>\n<li>Film: $15.00<\/li>\n<\/ul>\n[\/vc_column_text][vc_custom_heading text=&#8221;Next steps after requesting medical records:&#8221; font_container=&#8221;tag:h3|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;red-text&#8221;][vc_column_text]\n<ul>\n<li>Please allow up to 15 business days for your request to be processed. If you indicated the option to pick-up your medical records, you will be contacted by the Medical Records\/Health Information Management Department when your records are ready. A photo ID is required.<\/li>\n<li>Pick up location:<br \/>\nMedical Records\/Health Information Management Department<br \/>\n845 Jackson Street, 1\/F, San Francisco, CA 94133<br \/>\nMonday \u2013 Friday: 9 AM to 4 PM<br \/>\nClosed for Lunch: 12:30 PM to 1 PM<br \/>\nSaturday: By appointment Only<\/li>\n<li>For quick answers, please check our <a href=\"\/Medical_record_FAQ\">Frequently Asked Questions<\/a>. If you still have questions, please call 1-415-677-2460.<\/li>\n<\/ul>\n[\/vc_column_text][divider line_type=&#8221;No Line&#8221;][divider line_type=&#8221;Full Width Line&#8221; line_thickness=&#8221;2&#8243; divider_color=&#8221;default&#8221;][vc_custom_heading text=&#8221;Clinic records&#8221; font_container=&#8221;tag:h3|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;red-text&#8221;][vc_column_text]Contact our clinics by calling <a href=\"tel:1-628-228-2828\">1-628-228-2828<\/a>.[\/vc_column_text][divider line_type=&#8221;Full Width Line&#8221; line_thickness=&#8221;2&#8243; divider_color=&#8221;default&#8221;][vc_custom_heading text=&#8221;Health Information Exchange&#8221; font_container=&#8221;tag:h3|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; el_class=&#8221;red-text&#8221;][vc_row_inner column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; text_align=&#8221;left&#8221; row_position=&#8221;default&#8221; row_position_tablet=&#8221;inherit&#8221; row_position_phone=&#8221;inherit&#8221; overflow=&#8221;visible&#8221; pointer_events=&#8221;all&#8221;][vc_column_inner column_padding=&#8221;padding-3-percent&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_direction_desktop=&#8221;default&#8221; column_element_spacing=&#8221;default&#8221; desktop_text_alignment=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; background_color=&#8221;#ffffff&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_backdrop_filter=&#8221;none&#8221; column_shadow=&#8221;small_depth&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; overflow=&#8221;visible&#8221; el_class=&#8221;left-border-row&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][vc_column_text]Chinese Hospital understands that medical information about you and your health is personal. We are committed to protecting your medical information. This notice will tell you about the ways in which we may use and disclose medical information about you, <a href=\"\/patient-privacy\/\">please see our Notice of Privacy Practices<\/a>.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;full_width_background&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;5%&#8221; bottom_padding=&#8221;8%&#8221; left_padding_desktop=&#8221;10%&#8221; constrain_group_2=&#8221;yes&#8221; right_padding_desktop=&#8221;10%&#8221; left_padding_tablet=&#8221;0&#8243; constrain_group_4=&#8221;yes&#8221; right_padding_tablet=&#8221;0&#8243; left_padding_phone=&#8221;0&#8243; constrain_group_6=&#8221;yes&#8221; right_padding_phone=&#8221;0&#8243; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221;&#8230;<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/pages\/2671"}],"collection":[{"href":"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/comments?post=2671"}],"version-history":[{"count":6,"href":"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/pages\/2671\/revisions"}],"predecessor-version":[{"id":18171,"href":"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/pages\/2671\/revisions\/18171"}],"wp:attachment":[{"href":"https:\/\/chinesehospital-sf.org\/wp-json\/wp\/v2\/media?parent=2671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}