Premier radiology records request. 239. Jul 23, 2018 · Medical Records/Health Information Management Services Departments: If you have questions or concerns about your Premier Health hospital medical records, the medical records staff at each hospital is available to assist you. . YOU MUST SUBMIT another authorization for other items below. PREMIER RADIOLOGY | MIDDLE TENNESSEE IMAGING ATTENTION: Healthmark Group 28 White Bridge Pike • Suite 111 • Nashville, TN 37205 Premier Radiology is Tennessee's largest outpatient diagnostic imaging network. You can request copies and review your records. By completing this request and signing below, I hereby authorize the Health Information Management Services department of one or more affiliated entities of Premier Health, to release my protected health information to the following people or parties: Is this request for psychotherapy notes? YES, then this is the only item you may request on this authorization. Our team includes skilled office and technical staff, and access to board-certified, sub-specialized radiologists practicing throughout Davidson, Rutherford, Sumner, Williamson, and Wilson counties. use, psychiatric, HIV or AI Welcome to Request Manager. You can access your medical records through our Premier Medical Patient Portal. You will need to submit your request in writing to give us permission to copy your hospital medical record, or parts of your record, and forward it to you or another person or organization. Premier Health hospitals maintain a confidential medical record for every patient. There is no cost for this service. Learn more. HealthMark Group patients, login to request your records here. Oct 9, 2019 · My signature indicates that all information reflected on this form is true and accurate. Patients may submit a medical records request/authorization electronically via the HealthMark request portal here: https://requestmanager. Box 8810 Middletown, OH 45042-9813 Phone: (513) 974-5200 Fax: (513 Request or Consent for Release of Medical Information or Records I hereby authorize the following person(s) to have access to my medical and billing information as indicated on the HIPAA consent form which I signed. For the convenience of our patients, Premier Radiology has partnered with HealthMark Group to support in the secure and timely delivery of patient records. healthmark-group. O. Atrium Medical Center Medical Records Department P. 2061 for assistance. If you have any questions, please call 615. Contact Premier Radiology Tennessee for comprehensive diagnostic imaging services and inquiries through their contact page. NO, then you may check as many items below as you need. com/register. You may access the report and images from your exam directly through our patient portal , and you may request a copy of your report and images on CD at any time free of charge. 3ht0 2xqt 7ofe bgyc g7e6ogmei xxne v31c xuhn kru8w baym3be