Information Release Consent Form In Wake
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FAQ
As Wake County's only provider of trauma services and a regional trauma referral center, our two trauma centers — a Level I Trauma Center at Raleigh Campus and a Level III Trauma Center at Cary Hospital — and the WakeMed Trauma teams are standing ready to provide immediate care for the seriously injured.
Release of information (ROI) allows patients to release information from their medical records to authorized individuals or organizations.
Phone Directory Department namePhone number Main Phone 469.764.8000 Business Office/Billing Questions 214.820.2278 Medical Records 469.764.9110 | Fax: 469.764.9118 Physician Referral 1.844.BSW.DOCS (1.844.279.3627) (1.844.279.3627)2 more rows
For immediate continuity of care requests, you or your health care provider can request that records are sent directly to their office. Use the form above, or your provider's office can fax a written request on business letterhead to 619-543-7128.
Fax Numbers: Cary Hospital: 919-350-2285. North Hospital: 919-350-6892.
WakeMed is a large, off-campus teaching site for the UNC School of Medicine — an affiliation that has been in place for over 40 years. Many physicians in the WakeMed community have graduated from medical education programs at UNC. Around 50 residents rotate at WakeMed — most from UNC with a few from Duke University.
Begin by specifying your name, the entity authorized to disclose information, and the individuals or entities you authorize to receive it. Indicate the specific information and purpose for which it will be disclosed, add an expiration date or event, and sign and date the form to confirm your consent.
Some common synonyms of disclose are betray, divulge, reveal, and tell. While all these words mean "to make known what has been or should be concealed," disclose may imply a discovering but more often an imparting of information previously kept secret.
What Is a Release of Information? A release of information is a document that gives a consumer the opportunity to decide what material they want released from their medical file, who they want it delivered to, how long the data can be issued, and under what statutes and guidelines it is released.
Personal health record (PHR) Electronic medical record (EMR)
