144 results found

• 503 *50318* R Authorization to Use and Disclose Protected Health ...

  Mental Health Therapy Records. □ Operative report(s) ... Substance Use Disorder Treatment Record(s) ... Information Management/Medical Record Department.

• Patient and Family Rights

  physician, to accept or refuse medical care as permitted ... medical record, in a timely fashion, and within the limits of ... information and records kept confidential.

• Making Choices® Releasing medical records. • Determining which ...

  What is a healthcare agent? A healthcare agent is a person chosen by a loved one, family member, or friend to make healthcare decisions, including end-.

• Title Substance Use Disorder

  NOTICE TO CLINIC STAFF AND MEDICAL RECORDS:The information on this page is protected by special federal confidentiality rules (42 CFR Part 2), which ...

• Living Will and Durable Power of Attorney for Health Care

  medical records. This release authority applies to any information governed by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42.

• Opioid Use in Pregnancy

  EDUCATE patient. • ASK patient ... ENSURE patient understands that prescription medications can be misused, ... Check DOPL and medical records for patients.

• Medical Record #: ADULT PATIENT HEALTH HISTORY This ...

  This questionnaire will become a confidential part of your medical record. If you do not want to answer a question, leave it blank and discuss it privately with your  ...

• Your Medicare Annual Wellness Visit brochure

  or delay medical problems. ... This information is not a substitute for professional medical advice, nor should it be ... Any medical records you have, including.

• Management of Williams Syndrome

  chart (see pages 14 and 15). Clinical Features of Williams Syndrome. • Congenital heart defects (especially supravalvular aortic stenosis (SVAS) and peripheral ...

• Lumbar Spine

  Apr 9, 2013 ... Intermountain Healthcare 2013. Page 1 of 1. Patient Exam: Lumbar Spine Evaluation. Date: Time: Patient Name: M/F Age: Medical Record #:.