WebFor either option, you must first fill out the following release form: Please print the Authorization for Release of Information Form and complete the highlighted sections on Page 1 of the form: Name Date of birth Date (s) of treatment Release or mail to (patient, physician or institution information) WebMyChart accounts can be established by anyone age 12 years or older who is a patient at a participating BJC HealthCare or Washington University Physicians facility. Adolescents between the ages of 12-17 should complete the MyChart application here: MyChart Application for Minor Patients Ages 12-17 Years Return to Top Proxy Access for Children
HIPAA Notice for the Medical Center - Barnes-Jewish Hospital
WebRequest for Access to Protected Health Information: Please complete this form to have a copy of your medical records sent to you or to someone other than yourself. Note: … WebA Proxy Application Form must be completed and returned to one of our medical facilities to request access to MyChart. Download MyChart Forms (PDF ) Proxy Application for … phillips county ks appraiser\u0027s office
Medical Records BJC Medical Group
WebIf you are unsure of where to obtain your medical records, please call us at 314.454.5934 and select option 1 for assistance. Barnes-Jewish Extended Care 401 Corporate Park … WebRequest for Access to Protected Health Information: Please complete this form to have a copy of your medical records sent to you or to someone other than yourself. Note: Parents and guardians, please use this form for your patients. Print these forms, complete them and mail them to: Barnes-Jewish St. Peters Hospital Health Information Management WebBJC HealthCare Web and Internet Policies. ... Such information and services are not intended to be specific medical, health, business or other professional advice or direction. ... To do this, we must use software called a "cookie." The "cookie" maintains numbers in aggregate form, and does not obtain personal information about our visitors ... try to remember song lyrics