Fitzgibbon Hospital’s Health Information Management (HIM) department is here to help you when you need a copy of your medical records. HIM releases medical records for all facilities owned by Fitzgibbon Hospital.
Not only is HIM your resource for getting your medical records, the HIM department is responsible for organizing all your health care documents and records to make them available for your physician’s review. They also make your records available to any other physician you choose, your insurance company, or your attorney.
An “Authorization for Release of Information” is the form you need to request a copy of your medical records. This form tells us to whom we are authorized to release your medical information (ex., yourself or spouse, a physician or clinic, or another hospital) and what specific records are to be released. You may come to our office in the hospital and sign the form or, if it is more convenient, we can fax or mail the form to you and you can fax or mail it back when it is completed.
Please be sure to bring a picture ID (ex., driver’s license) with you to the hospital to turn in your release of information form and pick up your records.
* If you are signing on behalf of a patient for whom you are the legal guardian or personal representative, you must produce a certified copy of your appointment as legal guardian or personal representative. If you are signing on behalf of a patient who is deceased, you must provide a certified copy of the patient's death certificate.
Fitzgibbon Hospital assures you that the care you receive is kept confidential. Our physicians and staff have access to your records ONLY when it pertains to your care (this also includes access to your billing and insurance information). No one else sees your records without your authorization, a court order, a search warrant, other lawful disclosures, or for emergency health care. Also, federal regulations require that a detailed authorization from the patient must be obtained before accessing information on drug and alcohol abuse medical records and mental health records.