Information Release Consent Form In Riverside

State:
Multi-State
County:
Riverside
Control #:
US-00459
Format:
Word; 
Rich Text
Instant download

Description

This Consent to Release of Financial Information authorizes all banks, financial institutions, businesses, employers, credit reporting agencies and any other businesses to which this person is indebted or have assets located, to provide information concerning his/her finances and assets, without liability, to the person or entity named in this Consent form. This form is applicable in any state.

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FAQ

Riverside Community Hospital is in the top 5% of hospitals nationwide for overall clinical performance, ing to Healthgrades. This new robotic surgery system will support a wide range of procedures and provide precision and efficiency for patients and medical teams.

Are you a Riverside MyChart user? Log into your MyChart account. Click the “Health” icon (file folder with a small red heart) near the top left of the Home page. Select “Request Medical Records” from the Medical Tools section. Complete all required fields on the “MyChart Request to Release Medical Records”

Are you a Riverside MyChart user? Log into your MyChart account. Click the “Health” icon (file folder with a small red heart) near the top left of the Home page. Select “Request Medical Records” from the Medical Tools section. Complete all required fields on the “MyChart Request to Release Medical Records”

To contact MUSC Health Information Services (Medical Records) in writing, the address is: 169 Ashley Avenue / MSC 349 /Suite 200/ Attention: Release of Information / Charleston, South Carolina 29425-3490; the phone number is (843) 792-3881; FAX NUMBER 843-876-8080 or 843-876-8055.

More info

I, authorize Riverside Health System to release the health information from the Riverside location listed below: From Location(s) of Service. I do not authorize Riverside Community Care to release or request information at this time.Consent to Release Medical Records needs to be completed to begin this process. I authorize Riverside Medical Clinic to Release Medical Records to: (Required Information: If not completed, request will be returned). Download, print and complete the authorization form. The authorization form must be signed and dated. If you choose to give any information to a person or agency, you may fill out this form to process your request. For Admissions and Records office use only. With a Consent Form of Authorization, another person may request and receive copies of your medical record. Section A: This section must be completed for all Authorizations - I authorize Riverside Community Hospital to release information.

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Information Release Consent Form In Riverside