Get Mypatientencounters

This guide provides clear and comprehensive instructions on how to fill out the Mypatientencounters form online. By following these steps, users will be able to successfully complete their request for the FDNY Ambulance Pre-hospital Care Report.

Follow the steps to complete your request efficiently.

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. Complete the required Patient Information fields marked with an asterisk (*). Ensure that all provided information is accurate.
3. Fill out the requestor information section. If you are the patient, check the 'I am the patient' box to auto-fill this section with your details.
4. Attach the required documents for the request, including the HIPAA Form and the ACR Request Form. A good-quality photocopy of a valid, government-issued photo ID is also necessary.
5. Select the bolded option from the image provided to confirm the selection once you have completed the document fields.
6. After submission, you will receive an automated email containing a UNIQUE request code. This code is necessary for tracking your request.
7. Attach the required form/document files on the designated page to support your request.
8. Click the hyperlink within the confirmation email to verify your request. This will guide you to the confirmation page indicating that your Electronic Health Record request has been activated.
9. Once your request is processed, you will receive a confirmation email containing a hyperlink to access your requested Electronic Health Record.
10. After entering the necessary information and hitting the Submit button, a notification will alert you about viewing your electronic Protected Health Information (ePHI).
11. Select the ePCR hyperlink linked in the confirmation email to view the PDF version of your Electronic Health Record. You will have options to print or save this document.

Start filling out the Mypatientencounters form online today to streamline your request!