Northern Health Personal Information Request

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Access to Personal Health Information – Northern Health Region

(1 days ago) WebIf you are unable to print the Request for Access Personal Health Information Form, you may submit a written request to the contact listed on this page and include the following: …

https://northernhealthregion.com/programs-and-services/privacy-access/the-personal-health-information-act-phia/

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Information Privacy Office Northern Health

(Just Now) WebWe record your information in our electronic clinical systems and use a shared electronic health record, CareConnect, to provide a single point of access for patient medical information. We also have access to patient …

https://www.northernhealth.ca/about-us/accountability/information-privacy-office

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PART 1: PATIENT/CLIENT/RESIDENT INFORMATION

(5 days ago) WebPart 1: Consent from Patient/Client/Resident. Record the last name, first name, date of birth, health card number (the 9 digit PHIN in Manitoba or another jurisdictions health card …

https://northernhealthregion.com/wp-content/uploads/2019/08/AD-07-115-Request-for-Access-to-Personal-Health-Information-Form-NHR_0223_revised.pdf

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Your Rights – Northern Health Region

(2 days ago) WebUnder the Personal Health Information Act (PHIA); if you request information about the care you are currently receiving, you have the right to: outpatient or receiving health …

https://northernhealthregion.com/programs-and-services/privacy-access/your-rights/

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Applications and forms Northern Health

(2 days ago) WebFor more information, see this related Northern Health news release (July 5, 2022) Please email all forms to [email protected] or contact 250-565-7322 . Application for food …

https://www.northernhealth.ca/services/environmental-health/applications-and-forms

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Caring for Your Personal Information - Northern Health

(4 days ago) WebFor a complete list please visit the Northern Health website. NHA Health Records sites St John Hospital 250 648-6000 Fort St John Hospital and Health Care Centre 250 262 …

https://www.northernhealth.ca/sites/northern_health/files/about-us/information-privacy-office/documents/caring-for-your-personal-information.pdf

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Access to Records - Northern Health Region

(9 days ago) Webthe right of access to information in records maintained by NHR. FIPPA also protects your personal information. It establishes rules for how we are permitted to collect, use and …

https://northernhealthregion.com/programs-and-services/privacy-access/freedom-of-information-and-protection-of-privacy-act-fippa/

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HealthElife Northern Health

(5 days ago) WebLocations and contact information. Call 1-833-933-5373 from 8:30 am to 4:30 pm, Monday to Friday, excluding Statutory Holidays. An agent will guide you through a virtual session to verify your ID and provide you with …

https://www.northernhealth.ca/services/digital-health/healthelife

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Accessing your patient’s clinical information - Northern Health

(9 days ago) WebHow to request your patient’s Information: GP- Nominated as GP on patient’s record with Northern Health. Email: [email protected]. Fax: 8405 8007 (request must be on clinic …

https://www.nh.org.au/health-professionals/primary-care-liaison/accessing-your-patients-clinical-information/

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How to Request a Correction to Your Personal Health Information

(4 days ago) WebHow to Request a Correction to Your Personal Health Information How do I request corrections to my health records? © 2024 Northern Health Region

https://northernhealthregion.com/programs-and-services/privacy-access/how-to-request-a-correction-to-your-personal-health-information/

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Release of Information Request - Northern Light Health

(2 days ago) WebRelease of Information Request. Please use this form to request access to your Protected Health Information (PHI) in the designated record set that we maintain. You generally …

https://northernlighthealth.org/ROIRequest

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Section 1: Collection Authority

(6 days ago) WebPersonal Health Information Request Form (R) January 2020 Policy #: AD-07-105 Page 1 of 3 Appendix A This document is a quick reference to ensure the Personal Health …

https://internal.northernhealthregion.com/wp-content/uploads/2020/03/AD-07-105-Appendix-A-Guideline-for-Verification-of-a-Completed-Personal-Health-Information-Request-Form.pdf

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All Sites and Facilities - Northern Health

(4 days ago) Web10-300-5098 (IND - Rev. - 03/21) 10-300-5098 the northern way of caring All Sites and Facilities Authorization for Disclosure of Clinical Record Information Page 1 of 2 1. This …

https://www.northernhealth.ca/sites/northern_health/files/about-us/information-privacy-office/documents/authorization-to-disclose-clinical-information.pdf

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CONSENT TO USE PERSONAL HEALTH INFORMATION

(9 days ago) WebThis form is to be used only when a trustee is required to disclose PHI for a purpose that requires consent from the individual or a person permitted to exercise the rights of an …

https://northernhealthregion.com/wp-content/uploads/2020/01/AD-07-70-Personal-Health-Information-Use-and-Disclosure-Consent-to-Disclose-PHI-Form-R_PRIV_001.pdf

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Request to Correct Personal Health Information Form

(4 days ago) WebForm #: NHR_0102 (03/20) Policy #: AD-07-120 Page 2 of 2 Guideline for Completing the “Request to Correct Personal Health Information” This form is to be used when an …

https://northernhealthregion.com/wp-content/uploads/2020/03/AD-07-120-Request-to-Correct-Personal-Health-Information-Form-NHR_0102.pdf

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Freedom of Information - Northern Health

(7 days ago) WebThe Victorian Freedom of Information Act (“Act”) gives members of the public the right to request information held by Northern Health. The Act provides a right to: Accessing …

https://www.nh.org.au/patients-and-visitors/freedom-of-information/

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Authorization to Disclose Health Information - Northern Health

(2 days ago) WebMailing address: Medical Record Number (if available): Pick up Deliver Personal Health Number: The undersigned hereby authorizes/requests the. (Health Care Facility or …

https://www.northernhealth.ca/sites/northern_health/files/about-us/information-privacy-office/documents/authorization-to-disclose-health-information.pdf

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CONSENT TO USE PERSONAL HEALTH INFORMATION

(3 days ago) WebConsent to Disclose Personal Health Information Form #: NHR_0389 (04/22) Policy #: AD-07-70 Page 1 of 2. Part 1 Client Information Last Name First Name Date of Birth Health …

https://internal.northernhealthregion.com/wp-content/uploads/2022/10/AD-07-70-Consent-to-Disclose-Personal-Health-Information-Form-NHR_0389.pdf

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Subject Access Requests (Living Individuals) - Northern Health and

(8 days ago) WebDownload and complete a Subject Access Request Form and either email or post it to the Trust’s Information Governance Department. If you wish to receive this form by post or …

https://www.northerntrust.hscni.net/about-the-trust/accessing-information/personal-information/subject-access-requests-living-individuals/

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Georgia Department of Community Health Privacy Notice

(5 days ago) WebGeorgia Health Information Network, Inc. (“GaHIN”). GaHIN is the statewide health information exchange network through which Medicaid, its member affiliates, and other …

https://dch.georgia.gov/sites/dch.georgia.gov/files/GA-Medicaid-HIPAA-2_SL_rev_031115_clean.pdf

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Authorization to Use and Disclose Protected Health …

(5 days ago) WebKaiser Foundation Health Plan of Georgia, Inc. hereby authorize: To disclose to: Kaiser Permanente – Medical Records Administration Dept. 4000 Dekalb Technology Parkway, …

http://www.fcrea.net/pdf/2016%20Health%20Enrollment%20Documents/Kaiser%20stuff/auth_disclose_PHI_KPHP.pdf

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Access to personal information - Northern Health and Social Care …

(5 days ago) WebAccess to personal information. (Living Individuals) Access to Health Records (Deceased Individuals) Share this page. Contact Information Governance. Causeway …

https://www.northerntrust.hscni.net/about-the-trust/accessing-information/personal-information/

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Request for Access and Authorization for Use and/or

(Just Now) WebThe following is the contact information: Office of Civil Rights ~ U S Department of Health & Human Services 61 Forsyth Street, SW. Suite 3B70 Atlanta, GA 30323 ~ Phone# 404 …

https://www.adventhealth.com/sites/default/files/assets/768-0600_2019_Advent_Health_1_.pdf

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North Fulton Health Center Georgia Department of Public Health

(9 days ago) WebNorth Fulton Health Center. North Fulton Health Center. For appointments, please call. Primary. (404) 613-8150.

https://dph.georgia.gov/contacts/north-fulton-health-center

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Department of Human Services (DHS) - PA.GOV

(9 days ago) WebOur mission is to assist Pennsylvanians in leading safe, healthy, and productive lives through equitable, trauma-informed, and outcome-focused services while being an …

https://www.pa.gov/en/agencies/dhs.html

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