Kaiser release of information phone number

Patient Name: Medical Record number: Birth Date: Address: City: State: Zip Code: Phone #:. Email: Kaiser Permanente may release this information to: ...

1-800-777-7904 (TTY 711), 24 hours a day, 7 days a week. If you need help choosing the care that’s right for you, contact us 24/7 at 1-800-777-7904 (TTY 711). To cancel an appointment, log onto kp.org or call us 24/7 at 1-800-777-7904 (TTY 711). If you’re having a medical or mental health emergency, call 911 or go to the nearest hospital. 1 ...Contact our Release of Medical Information (ROMI) Department for help with forms for medical leave, schools, or other organizations.Fax: 206-630-6849 Fax: 509-232-3127. To request Radiology Images ONLY (x-rays, MRI’s, CT’s, mammograms etc.), please send requests to: Kaiser Foundation Health Plan of Washington Central Imaging Center 201 16th Ave E Seattle, WA 98112. Phone: 206-326-3715 Fax: 206-326-2007.Kaiser Permanente Redwood City Medical Center is a comprehensive health care facility that offers a range of services, from urgent care to acupuncture, for members and non-members alike. Whether you need prompt attention for an illness or injury, or you want to improve your wellness and prevention, you can find quality care and support at our …OF PATIENT HEALTH INFORMATION. ORIGINAL - DISCLOSING PARTY. CANARY - PATIENT. Kaiser Foundation Hospitals. Permanente Medical Groups. NS-9934 (2-11) HIPAA COMPLIANT SPANISH-NS-1614; CHINESE-NS-6274 90258 (REV. 2-11) SPANISH 01782-000; CHINESE 01782-002. Kaiser Permanente will not condition treatment, … Release of Information MAILSTOP: RCG-D1N-02 PO Box 9010 Renton, WA 98057-9054 Phone: 206-630-6848 or toll-free 1-866-656-4184 Hours: 8 a.m. to 5 p.m. Email: [email protected] Fax:877-848-6896. Eastern Washington Kaiser Foundation Health Plan of Washington Release of Information MAILSTOP: ACN-AC3 PO Box 204 Spokane, WA 99210-9809 Phone: 509-241-7824 Vallejo Hospital & Medical Offices. 975 Sereno Dr, Vallejo, CA 94589-2441. 707-651-1000. Map & Directions Campus Map Departments Find a Doctor.

Signature of Representative Date Relationship. . Check if patient is a minor Keep a copy for your records and submit the original to: Kaiser Permanente Appeals, P.O. Box 34593, Seattle, WA 98124-1593. Please contact Member Appeals at 1-866-458-5479 if you need a copy of this form. AG1000097-01-17 Kaiser Foundation Health Plan of Washington.2500 Merced Street, San Leandro, CA 94577. 510-454-1000. Map & Directions Campus Map Departments Visitor Information Find a Doctor.Option 1: Form Completion (a substitute form or relevant medical records may be released) Option 2: Last 2 years of Kaiser Permanente Medical Ofice and Kaiser Foundation Hospital records. Option 3: Records as specified. You must …Choosing the right health insurance plan can be a daunting task, especially with the numerous options available in the market. Kaiser Silver 70 HMO is a comprehensive health insura...Subpoenas, Court Orders and other legal requests for records of Kaiser Permanente of Washington patients may be submitted by fax or email to Release of Information at 877-848-6896 or [email protected]. This is consistent with WA state law RCW 70.02.060 and court rules CR 5 (Act for a Family Member is a feature by which caregivers are granted permission to access medical records and use certain other kp.org services on behalf of Kaiser Permanente members they’re caring for.. Actions that may be taken by caregivers with permission may include, but aren’t limited to, the following: Scheduling appointments such as in-person or …RELEASE OF MEDICAL INFORMATION. Release of Medical Information 2nd Floor, Dept. 200 Marshall Medical Offices 905 Maple St Redwood City, CA 94063 (Enter underground parking from Marshall Ct.) Campus Maps . Email [email protected]. Phone 650-299-3228. Hours 9:00 a.m. – 5:00 p.m. Closed 12:30 p.m. – 1:30 p.m. for lunch. Your Records

Release of Medical Information (ROMI) · Rheumatology. S. Sleep Medicine Services · Spine Surgery · Sports Medicine · Surgery · Surgery: Breast Ca...1. . . Please describe the specific records you’re requesting to help us respond more completely to your request. (Example: Related to a condition or surgery, specific lab tests, all available records, etc.). o This section is optional. Enter additional details as desired related to the types of records you need.Click here to see the many ways you can get care when it works for you — whether 24/7 advice, online e-visits or video visits, phone, or in-person. INFORMATION TO JOIN KAISER PERMANENTE Employer group plans Contact Member Services Choose from the following contact options for questions and concerns about your plan, benefits, billing, account management, and more. Important : If you think you or someone you care for is having a medical or mental health emergency, call 911 or go to the nearest hospital. We would like to show you a description here but the site won’t allow us.Kaiser Permanente Renton Campus. 2921 Naches Ave SW, Mail Stop RCR-A3S-05. Renton, WA 98057. For authorization requests, procedure notifications, authorization logs, etc. 1-800-289-1363. Fax: 1-888-282-2685. For DME authorization requests, quotes, and orders: Fax: 1-877-290-4632. For medical records and clinical review information:

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Submit request to Release of Information: Mail: Kaiser Permanente Attn: ROI 501 Alakawa Street, 2nd Floor Honolulu, HI 96817. Fax: (866) 609-7402. Email: [email protected]. Technical Information; Site Map; Contact Site Manager; HIPAA Authorization; Follow us on these external social media sites that will open in a new browser window. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of … South Sacramento Release of Medical Information - Kaiser Permanente Page 2 of 5 For your convenience, you may request your records using phone, email, or by visiting any of our locations. Our offices are generally open from 8:30 to 5:00 pm. Please follow the link for the facility closest to you. Release of your records Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of ...

Act for a Family Member is a feature by which caregivers are granted permission to access medical records and use certain other kp.org services on behalf of Kaiser Permanente members they’re caring for.. Actions that may be taken by caregivers with permission may include, but aren’t limited to, the following: Scheduling appointments such as in-person or …Contact our Release of Medical Information (ROMI) Department for help with forms for medical leave, schools, or other organizations.Panorama City Medical Center is a Kaiser Permanente facility that provides comprehensive health care services to members in Southern California. Whether you need urgent care, primary care, specialty care, or hospital care, you can find it here. Learn more about our doctors, locations, and amenities on our website.To request a copy of your VA medical records by mail or fax, send a signed and completed VA Form 10-5345a to our Release of Information office. Download VA Form 10-5345a (PDF) Mail your signed form to. 10535 Hospital Way. Mather, CA 95655.Check ONLY one of the following three options to identify the health information to be released. Option 1: Form Completion (a substitute form or relevant medical records may be released) Option 2: Last 2 years of Kaiser Permanente Medical Ofice and Kaiser Foundation Hospital records. Option 3: Records as specified. Kaiser Permanente Orange County offers care and coverage, together, to help make life easier. Combining cutting-edge technology with a focus on prevention, Kaiser Permanente Orange County puts you and your health at the heart of everything we do to help you get healthy, stay healthy, and thrive. Highlighting our community health work in Southern California. We can assist you with copies of medical records to confirm hospitalization and other health care treatment. You will need to fill out an authorization for release of protected health information (PHI) form (PDF). Then contact us at: Phone: (808) 432-5092. Fax: (808) 432-5070 or (808) 432-4908. Email: [email protected]. Kaiser Permanente Medicare specialists. 7 days a week, 8 a.m. to 8 p.m. 1-855-832-0353 TTY: 711. Return to your personalized action plan.

Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of ...

Make sure you’re registered for and signed in to your own online Kaiser Permanente account. If your child is a Kaiser Permanente member but you aren’t, contact Member Services for assistance at 1-888-901-4636 (TTY 711). Fill out and submit the request parental access form. Contact information Individual & Family plans 1-800-290-8900. 24-hour emergency notification line 206-901-4609 or 1-888-457-9516. Visiting members 1-800-446-4296. Aon Active Health Exchange 1-855-407-0900 or TTY 711. 24/7 advice 206-901-2244 1-800-297-6877. Employment Office 1-800-848-4259. Eye Care Washington 1-800-664-9225. Mail Order ... Kaiser Permanente Redwood City Medical Center is a comprehensive health care facility that offers a range of services, from urgent care to acupuncture, for members and non-members alike. Whether you need prompt attention for an illness or injury, or you want to improve your wellness and prevention, you can find quality care and support at our …Panorama City Medical Center is a Kaiser Permanente facility that provides comprehensive health care services to members in Southern California. Whether you need urgent care, primary care, specialty care, or hospital care, you can find it here. Learn more about our doctors, locations, and amenities on our website.With Kaiser Permanente Vacaville Medical Center, you'll find a hospital with support and lots of options. Take a look at our facility and get the information you need. ... Contact information. Advice/ Appointments/ Cancellations/ Messages Vallejo: 707-651-1031 Fairfield: 707-427-4042 Napa: 707-258-2080 Vacaville: 707-624-3800. California Relay ...Are you trying to find the Wellcare phone number? Whether you are a current customer or looking to become one, finding the right contact information can be a challenge. Fortunately...Your Doctors, Your Care – Kaiser Permanente of Northern California

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Panorama City Medical Center is a Kaiser Permanente facility that provides comprehensive health care services to members in Southern California. Whether you need urgent care, primary care, specialty care, or hospital care, you can find it here. Learn more about our doctors, locations, and amenities on our website.Contact information Individual & Family plans 1-800-290-8900. 24-hour emergency notification line 206-901-4609 or 1-888-457-9516. Visiting members 1-800-446-4296. Aon Active Health Exchange 1-855-407-0900 or TTY 711. 24/7 advice 206-901-2244 1-800-297-6877. Employment Office 1-800-848-4259. Eye Care Washington 1-800-664-9225. Mail Order ...Complete any required section (s) of the form or certification prior to submission. If the form is for a specific condition or medication, please provide this information. Send a secure message to Medical Records via KP.org: In the subject line dropdown list, select “Medical Records, Forms, or Doctor’s Note”. Attach your requested form.Kaiser Permanente Renton Campus. 2921 Naches Ave SW, Mail Stop RCR-A3S-05. Renton, WA 98057. For authorization requests, procedure notifications, authorization logs, etc. 1-800-289-1363. Fax: 1-888-282-2685. For DME authorization requests, quotes, and orders: Fax: 1-877-290-4632. For medical records and clinical review information:A copy of this authorization is as valid as the original. I have a right to a copy of this authorization. Signature of Patient or Personal Representative. 05022-005 (6-12) FOR CHINESE USE -001, SPANISH -002. Date Personal Representative’s Name Print) and Relationship. DISTRIBUTION: WHITE = CHART • CANARY = MEMBER/PATIENT.Facilities, Departments and Services in Napa-Solano. Everybody is different and every member unique, which is why when it comes to taking care of your health, you have access to a wide range of services, no matter your age, lifestyle, or situation. Fairfield Medical Offices. 1550 Gateway Blvd. Fairfield, CA 94533-6900. Check ONLY one of the following three options to identify the health information to be released. Option 1: Form Completion (a substitute form or relevant medical records may be released) Option 2: Last 2 years of Kaiser Permanente Medical Ofice and Kaiser Foundation Hospital records. Option 3: Records as specified. Medical Forms, Records, and Certifications. Working with our doctors, our Release of Medical Information (ROMI) Department helps you complete forms for disability or medical leave and provide required medical information to your school, employer, or other organization. Contacting your local Kaiser Permanente Release of Medical Information Office. Submitting an online request . To complete the request, make sure you have the: Work status report (work slip) from your doctor's office. Form receipt or claim ID number from the EDD. (The EDD sends this to you when you open your SDI claim.) Surgical informed consent. Mobile navigation kaiser permanente logo. Select a region. South ... Release of Medical Information (ROMI) ... Kaiser Permanente health plans around the country: ...RELEASE OF MEDICAL INFORMATION. Release of Medical Information 2nd Floor, Dept. 200 Marshall Medical Offices 905 Maple St Redwood City, CA 94063 (Enter underground parking from Marshall Ct.) Campus Maps . Email [email protected]. Phone 650-299-3228. Hours 9:00 a.m. – 5:00 p.m. Closed 12:30 p.m. – 1:30 p.m. for lunch. Your Records ….

Visit Napa Medical Offices for personalized care and coverage from Kaiser Permanente. Explore our departments, services and location details. Fairfield: 707-427-4042. Napa: 707-258-2080. Vacaville: 707-624-3800. California Relay Service. 711 (TTY for the hearing/speech impaired) We have many facilities available for you during your pregnancy and childbirth. No matter where you choose to go, you’ll find a staff committed to your care. Where to go for care. South Sacramento Release of Medical Information - Kaiser Permanente Page 2 of 5 For your convenience, you may request your records using phone, email, or by visiting any of our locations. Our offices are generally open from 8:30 to 5:00 pm. Please follow the link for the facility closest to you. Release of your recordsWellness is living your best life. Kaiser Permanente is here to help you do both. There are many things you can do to take an active role in your prevention plan to stay healthy and thrive through all stages of life. Kaiser Permanente Antelope Valley puts you and your health at the center of all we do so our team can help you thrive.New members - get started Make an appointment. Kaiser Permanente Care at Home — The care you need in the comfort of home. Moreno Valley Medical Center 27300 Iris Avenue Moreno Valley, CA 92555. Riverside Medical Center 10800 Magnolia Avenue Riverside, CA 92505. Manage stress and build resilience with a live mindfulness webinar. A copy of this authorization is as valid as the original. I have a right to a copy of this authorization. Signature of Patient or Personal Representative. 05022-005 (6-12) FOR CHINESE USE -001, SPANISH -002. Date Personal Representative’s Name Print) and Relationship. DISTRIBUTION: WHITE = CHART • CANARY = MEMBER/PATIENT. Check ONLY one of the following three options to identify the health information to be released. Option 1: Form Completion (a substitute form or relevant medical records may be released) Option 2: Last 2 years of Kaiser Permanente Medical Ofice and Kaiser Foundation Hospital records. Option 3: Records as specified.OF PATIENT HEALTH INFORMATION. ORIGINAL - DISCLOSING PARTY. CANARY - PATIENT. Kaiser Foundation Hospitals. Permanente Medical Groups. NS-9934 (2-11) HIPAA COMPLIANT SPANISH-NS-1614; CHINESE-NS-6274 90258 (REV. 2-11) SPANISH 01782-000; CHINESE 01782-002. Kaiser Permanente will not condition treatment, … Kaiser release of information phone number, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]