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Once your request is received by Health Information Management, it will be mailed to you unless arrangements are made to pick up your copy. Medical records will be faxed or mailed to another hospital or physician's office if requested by a completed Authorization for Use or Disclosure of Protected Health Information.
A spouse, relative or friend cannot obtain a copy of your medical records, or pick up records for you, unless the individual has Power of Attorney for Healthcare Decisions for you.
A copy of the Power of Attorney for Healthcare Decisions must be included with your request. The pertinent part of the medical record is available to patients at no charge. For copies of additional portions of the medical record, a fee of 25 cents per page will be charged to you. A bill may be mailed prior to the records being copied and sent to you. There is no charge if the copies of the records are sent to physicians for your follow up care or treatment.
Garfield Medical Center does not issue birth certificates. The phone number for the Vital Record's Office is Information can be obtained on their website at www. The fees for certified copies listed above are nonrefundable. If a record is not found, a Certificate of No Public Record will be issued.
If sending the request by mail, please complete the Credit Card Authorization Form. We also accept cash in person. Please Do Not send cash through the mail. Make the request in the adopted name and list the adoptive parent s in the appropriate fields. If you are requesting a copy of the original Birth Certificate, you must provide a court order releasing the original sealed record. Who Can Request Copies?
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