The children s hospital of philadelphia is committed to ensuring that your medical information is private and secure.
Chop edu medical records.
To request your child s medical records whether on paper or in electronic format please complete and sign the authorization for release of protected health information pdf form and send it to our health information management department as follows.
At children s hospital of philadelphia and the chop care network we are happy to help you get the medical records you need when you need them.
Choc him department 1201 west la veta.
Click on the following for release of information form.
Send your form by mail to.
Lifeimage is a hipaa compliant service.
Upmc children s hospital of pittsburgh charges reasonable cost based fees for copies of medical records.
To request information about inpatient or outpatient mental health records please send the form to.
Requests for medical records from others require a hipaa compliant authorization for release of protected health information.
To fill out a request or complete the ingalls authorization for release of information and mail it to.
Upmc children s hospital of pittsburgh.
Uchicago medicine ingalls memorial.
Chop now offers patients and healthcare providers a safe and secure way to send medical imaging records to our radiologists electronically using lifeimage.
Request to amend medical records english.
If you would like copies of your child s medical records please complete the following authorization form and return it to choc either via fax mail or email.
At children s hospital of philadelphia trust is the foundation of our relationship with you our patients and families.
In most cases your child must have been seen at our chop care network location for a complete check up within the past 12 months for us to complete these forms.
Keeping patients safe after much preparation throughout the covid 19 pandemic we are gradually and carefully resuming more in person visits at our main campus and our care network locations.
A team of researchers at children s hospital of philadelphia chop affiliated with the chop epilepsy neurogenetics initiative engin further bridged the gap between genomic information and clinical outcome data by systematically linking genetic information with electronic medical records focusing on how genetic neurological disorders in children develop over time.
The hospital protects medical information as required by state laws and the federal privacy rules of the health insurance portability and accountability act of 1996 hipaa.
To request a copy of your medical record you may stop by the medical records office at ingalls monday friday 8 30 a m.
The record can be provided in several formats electronic and paper which can be specified.