This New York adoption proceeding form, a Child's Medical History, is an official New York court model form. Available in Wordperfect or pdf format.
New York Child's Medical History
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FAQ
If you spent time in the hospital, ask for a copy of your records when you're discharged. Use an online patient portal to access your medical records. Keep copies of your medical bills and insurance claims as they occur. Talk to your doctor if you need help figuring out which records to include.
Identification Information. Patient's Medical History. Medication History. Family Medical History. Treatment History and Medical Directives.
Physicians and hospitals are required by state law to maintain patient records for at least six years from the date of the patient's last visit. A doctor must keep obstetrical records and records of children for at least six years or until the child reaches age 19, whichever is later.
If you are interested in obtaining a copy of your medical records, you will need to contact the doctor's office, clinic or hospital where you were treated.
Agency: New York State Department of Health. Division: Professional Medical Conduct. Phone Number: (800) 663-6114. Business Hours: Monday - Friday: 8 AM - PM.
A medical chart is a complete record of a patient's key clinical data and medical history, such as demographics, vital signs, diagnoses, medications, treatment plans, progress notes, problems, immunization dates, allergies, radiology images, and laboratory and test results.
Visit: www.myhealthrecord.gov.au. Call the My Health Record Helpdesk on 1800 723 471.
A request for information from health (medical) records has to be made with the organisation that holds your health records the data controller. For example, your GP practice, optician or dentist. For hospital health records, contact the records manager or patient services manager at the relevant hospital trust.
The law allows physicians and institutions to charge no more than 75 cents a page, plus postage, for paper copies of medical records.