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There will be a perpage fee charged for Record requests. MEDICAL RECORDS PH: 7242844530 FAX: 7242844532 AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATION One Hospital Way Butler, PA 16001 1. I.

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Writing a request for medical records to Butler Health System is straightforward. Start by including your personal information such as your name, address, and date of birth. Clearly state that you wish to request your medical records, and specify the records you need. Be sure to include your signature and date the request to ensure timely processing.

When writing a request letter for your medical records, start by including your full name, date of birth, and contact information. Clearly state that you wish to request your medical records from Butler Health System, and specify any details relevant to your request, like dates of treatment. Sending this letter via certified mail ensures you have confirmation that it was received.

The easiest way to obtain all your medical records from Butler Health System is by using our online request portal. This tool allows you to submit a comprehensive records request conveniently. We aim to provide prompt service, ensuring you have all the documentation you need in one place.

If you are in Arizona and need to access your medical records, start by visiting the Butler Health System website. You can find specific instructions tailored for Arizona residents looking to request their medical records. Our dedicated team is ready to help guide you through the process.

To request your medical records from Butler Health System, simply visit our website and follow the online instructions. You can also call our patient services for assistance. We make this process straightforward so you can receive your records quickly and efficiently.

To obtain records of a deceased patient: The executor or administrator of a decedent's estate may obtain records if they provide a letter testamentary, a letter of administration or a "short certificate" showing that they are authorized to act as the personal representative of the decedent.

Retention Requirements & Record Ownership In Pennsylvania, physicians must retain an adult patient's medical records for at least seven years from the last date of service.

There is a three-step process for requesting copies of your medical records from IU Health. Download and print the Authorization to Release and Disclose Patient Information form. ... Follow the instructions on the left side of the form to guide you in providing the type of information needed.

Under Indiana medical records laws, only the patient, authorized representative, or an authorized health case worker has access to medical records, except by subpoena or other court order.

To obtain a copy of your medical record in Pennsylvania, start by asking your healthcare provider about their specific procedure. In most cases, you'll need to fill out a form and then make a request in writing.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232