dmc patient portal request form

What is the DMC patient portal?

Primary Care Forms. Here is where you’ll find a list of forms you may need as a DMC Primary Care patient. If you have questions or are looking for information not listed here, please call us at 603.537.1300. View Forms.

How do I get medical information from the DMC?

Request Medical Records Release of Information Access to Your Medical Record You have the right to see your medical record at a time suitable for both you and the staff. Once discharged, you may request and obtain a copy of your record for a reasonable fee. You have the right to request the disclosures we […]

How do I get medical records from Detroit Medical Center?

Patient Forms. Following are forms you may need as a DMC Primary Care patient. If you have questions or are looking for information not listed here, please call us at 603.537.1300. Our Medical Records main fax number is 603.537-1355.

How do I access my inpatient medical information?

Careers About Portal Financial Resources Find ... and submit the DMC Authorization to Release Medical Information. Download, print and complete the authorization form, DMC Authorization to ... A valid authorization MUST contain the following information or the request will be returned: Patient's full name and date of birth (list any other names ...

What EHR does DMC use?

3, 2011 /PRNewswire via COMTEX/ — Allscripts (NASDAQ: MDRX) today announced that DMC Children's Hospital of Michigan, an international leader in pediatric neurology and neurosurgery, cardiology, orthopedic surgery, oncology, and diagnostic services, and ranked by U.S. News & World Report as one of America's best ...

Does DMC have a app?

Simply search for RUN with DMC in your smartphone's marketplace, and download the free app. It's available now for iPhone and Android devices. When you need the expertise of a DMC Sports Medicine doctor, physical therapist or athletic trainer for a sports injury, the DMC is just a phone call away a 313-910-9328.

Does Detroit Medical Center have a patient portal?

Welcome to My Health Rec, Our Patient Portal My Health Rec is a great way to view, download and transmit your up-to-date health information, all from the convenience and privacy of your own home, or anywhere Internet access is available — 24 hours a day, seven days a week.

Can I request my medical records NZ?

Access Your Medical Records Online Now you can with ManageMyHealth™, an online portal managed by the Ministry of Health that allows you to access your own information, request prescriptions and book appointments.

What is DMC app?

DMC Mobile App The DMC Mobile Application is designed with multiple tools to help buyers navigate Market with up-to-date information on exhibitors, product, DMC schedules, news, and upcoming events.

How do you keep track of embroidery thread?

Ways to Organize Embroidery Thread/FlossKeep a hand written list-make notes on your list when you need replacements.Keep a list on your computer in a document or a spreadsheet. This can make it much easier for making changes, then you can print out your new updated list if needed.

What is Athena patient portal?

Online patient portal With a patient portal, patients can make appointments and get appointment reminders, view and update personal information, request prescriptions, receive test results, and read patient education material.

How do I see my medical history?

Check with your health care providers or doctors to see if they offer online access to your medical records. Terms sometimes used to describe electronic access to these data include “personal health record,” or “PHR,” or “patient portal.”

How to request a medical record?

Records can be released to anyone that the patient authorizes (in writing) to receive such information. A valid authorization MUST contain the following information or the request will be returned: 1 Patient's full name and date of birth (list any other names the patient may have had). 2 Specific information being requested (e.g. type of report/information and dates of service, etc.) 3 Purpose for which the information may be disclosed. 4 To whom the information is to be sent (name and address) 5 Specify authorization’s expiration date if desired (see ROI form) 6 The patient's signature or a patient's legal representative’s signature. Authorizations signed by a representative must contain a copy of the guardianship papers or power of attorney 7 Date of the signature.

Why is a birth certificate important?

Your baby's birth certificate is a very important legal document. It is used to verify birth and is required on a number of different occasions. Birth certificates are created for infants delivered in the hospital or brought to the hospital immediately following birth.

Does DMC have death certificates?

DMC does not provide copies of death certificates. For information about how to obtain a copy of a death certificate, please call The City of Detroit Vital Records Department at (313) 876-4134. Patient Representative Form - This form is to be used when requesting records on a deceased patient.

What is sensitive information?

Sensitive Information. Certain information requires a special authorization covering sensitive information. This includes psychiatric, drug and/or alcohol abuse, HIV/AIDS, and sexual abuse information. Authorizations for sensitive information must specifically refer to the information that is to be released.

Can a patient's name be released?

Records can be released to anyone that the patient authorizes (in writing) to receive such information. A valid authorization MUST contain the following information or the request will be returned: Patient's full name and date of birth (list any other names the patient may have had).

Is a medical record confidential?

Confidentiality of Care. Your medical record will be treated as confidential by the hospital staff. No one outside the hospital, except your referring physician, may be given a copy of your record without your written permission.

What is a patient's signature?

The patient’s signature or a patient’s legal representative’s signature. Authorizations signed by a representative must contain a copy of the guardianship papers or power of attorney. Date of the signature.

Can a patient's name be released?

Records can be released to anyone that the patient authorizes (in writing) to receive such information. A valid authorization MUST contain the following information or the request will be returned: Patient’s full name and date of birth (list any other names the patient may have had).

Can you get a copy of your medical record after discharge?

You have the right to see your medical record at a time suitable for both you and the staff. Once discharged, you may request and obtain a copy of your record for a reasonable fee. You have the right to request the disclosures we made of medical information about you.

Why is a birth certificate important?

Your baby's birth certificate is a very important legal document. It is used to verify birth and is required on a number of different occasions. Birth certificates are created for infants delivered in the hospital or brought to the hospital immediately following birth.

What is sensitive information?

Sensitive Information. Certain information requires a special authorization covering sensitive information. This includes psychiatric, drug and/or alcohol abuse, HIV/AIDS, and sexual abuse information. Authorizations for sensitive information must specifically refer to the information that is to be released.

Can a patient's name be released?

Records can be released to anyone that the patient authorizes (in writing) to receive such information. A valid authorization MUST contain the following information or the request will be returned: Patient's full name and date of birth (list any other names the patient may have had).

Does DMC have birth certificates?

DMC does not provide copies of birth certificates. Birth certificates created by the hospital are forwarded to the City of Detroit Department of Health and Wellness Promotion, Vital Records Division, office where they are recorded and permanent copies are retained. Birth certificates are created and registered for all infants delivered in the hospital or brought to the hospital immediately following birth. For information about how to obtain a copy of a birth certificate, please call (313) 876-4134.

Does Children's Hospital of Michigan have death certificates?

Children’s Hospital of Michigan does not provide copies of death certificates. For information about how to obtain a copy of a death certificate, please call The City of Detroit Vital Records Department at (313) 876-4134.

Can a hospital give you a copy of your medical records?

Your medical record will be treated as confidential by the hospital staff. No one outside the hospital, except your referring physician, may be given a copy of your record without your written permission. Exceptions are as required by law, transfer of care or third party payor/insurance contract.

For Patients

Patients and families always come first at the Detroit Medical Center. If you need to find a doctor, request an appointment, or complete most any other health-related action, you’ve come to the right place. Use the links below to find exactly what you're looking for.

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Release of Information

See more on dmc.org

Obtaining/Completing Birth Certificates

Completing Your Baby's Birth Certificate

Obtaining Death Certificates