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  • The Hospitals Of Providence Sierra Campus Access Request Form

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The Hospitals of Providence Sierra Campus ACCESS REQUEST FORM Patients Name: LastFirstMiddleHome Address: Home Phone: Date of Birth: Date of Request: I hereby request that The Hospitals of Providence.

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U.S. News also ranked hospitals in the Providence metro area. The number 1 hospital in Rhode Island is Miriam Hospital.

Please refrain from submitting your forms by mail. Instead, please fax them to 818-708-5368.

To receive a copy of your medical records, you may complete the form or write a letter. If you choose to write a letter, it must include the following required elements: Signed by the individual (patient) or patient representative. Clearly identify the patient, preferably name and date of birth.

The Hospitals of Providence remains under Tenet, our parent company since 1995.

The 10 Providence SoCal hospitals received a total of 114 “high performing” accolades for specialties and procedures, meaning they performed among the top 10 percent across the U.S. in specific areas.

The number 1 hospital in Pennsylvania is Hospitals of the University of Pennsylvania-Penn Presbyterian.

Please refrain from submitting your forms by mail. Instead, please send by email or fax them to 425-317-0701.

Our patient portals are secure, convenient way to manage your personal health care online. Get answers to your medical questions from the comfort of your own home. Click here to learn more about MyChart.

Providence Health & Services is a not-for-profit Catholic health care system operating multiple hospitals and medical clinics across seven states, with headquarters in Renton, Washington.

Accessing Your Medical Records In most cases, you'll need to fill out a form and then make a request in writing. While it's possible your primary physician could have a complete version of your records, if you have seen multiple providers you may want to request a copy from each to ensure completeness.

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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