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# DATE: A.A.N.A. CODE# TOPIC: EXPIRATION DATE: C.E. CREDITS: SAMPLE PROVIDER'S SIGNATURE: Colleen Dargie, MD Director, Fairlane Ambulatory Surgery 19401 Hubbard Drive Dearborn, MichiGAN 48126 Form #: FRL-03-8029-0410 HENRY FORD MEDICA.
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FAQ
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If you have an urgent need to get copies of your medical records, please call the Release of Information Unit at 734-936-5490 Monday through Friday from 8am – 5pm or fax your request to 734-936-8571.
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How do I get my medical record number from Henry Ford? To obtain access before your first appointment please call 1-800-HENRYFORD to get your medical record number and ensure your contact information is up to date.
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A doctor's note must contain the date of your visit to the doctor's, your name, the health issue that led you to miss work or school, any limitations recommended by the doctor, and if a further period of absence is needed. It must also be signed by a physician to prove the authenticity of the note.
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A medical record number (MRN) is a unique identifier assigned to a patient in an electronic health record (EHR), practice management, or healthcare IT system. The MRN is used to keep track of medical history, diagnoses, treatments, and other important information related to patient care.
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Questions: Contact Medical Records: 313.916. 4540 Please mail completed form to: Medical Records 1414 E. Maple Road, Troy, MI 48083 (Mailing Address ONLY) or Medical Records email address: HFHSMedicalRecords@hfhs.org • fax number 313.916.
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All members of the HFPN are encouraged to use Epic in their practice.
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