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Solicitar historial médico

Solicitar historial médico

Montefiore Einstein is committed to protecting the confidentiality of your medical records. Patient health information is strictly protected by federal and state laws.

Medical records can be requested by patients, authorized patient representatives, or legally permitted third parties (such as physicians, attorneys, courts, or insurance companies).

Qué debe saber

Access Records Instantly via MyChart

If you are an existing patient looking for everyday health information, you may not need to submit a formal records request. You can view your records 24/7 through Montefiore MyChart, our secure online patient portal.

Through MyChart, you can:
• Consulte los resultados de laboratorio y diagnósticos.
•    Message your primary care or specialist doctors.
•    Request medication refills.
•    Manage your personal health history.

Learn more about Montefiore MyChart.

Request Medical Records Online

Montefiore Medical Center has online tools that allow patients, authorized representatives, and third parties to submit digital requests in a secure manner.

Recommended Browsers: Chrome, Safari and Firefox. 
 

Requesting Medical Records by Mail

If you prefer not to use our online system, you can submit a physical request form for medical records or radiological/diagnostic images.

English: 
Download fillable form
Download instructions

Spanish: 
Download fillable form
Download instructions 

Read the form thoroughly and fill it out completely – download the instruction for assistance on how to fill out the form.

Envíe el formulario cumplimentado por correo a:
Montefiore Einstein
Atención: Departamento de Gestión de Información Sanitaria
111 East 210th Street
Bronx, NY 10467

Special Circumstances:

  • If the patient is incapacitated, or unable to sign for him/herself: the patient representative must enter their relationship to the patient so that we can determine authority to request the records. 
  • If the patient is deceased: the court-appointed administrator or executer of the state can request the medical records. A copy of the death certificate will be required to verify death if the patient did not expire in our facilities.
  • Other circumstances additional documentation may be required depending on the situation. For questions, please contact 718-920-4921.

Delivery Expectations

In accordance with New York State law, requests are processed within ten days after the authorization is received.

Enmiendas

La ley HIPAA le otorga el derecho a modificar su historial médico. Si considera que la información en su historial es incorrecta, puede solicitar una modificación. Un proveedor de atención médica revisará su solicitud y le responderá. Puede presentar una solicitud de modificación de historial médico en persona visitando una de nuestras centros médicos de Gestión de Información de Salud (HIM por sus siglas en inglés) de Montefiore, donde un miembro de nuestro equipo coordinará el proceso de modificación.

If you have questions about your request or need assistance, contact the Health Information Management Department at 718-920-4921.

Ubicaciones de la Gestión de Información de Salud (HIM por sus siglas en inglés) de Montefiore

Gestión de la información sanitaria
Hospital D. Weiler (Campus Einstein)
1825 Eastchester Road, Segundo Piso, Habitación 2 Sur-01
Bronx, NY 10461
De lunes a viernes: de 8:30 a 17:00.

Gestión de la información sanitaria
Hospital Montefiore Wakefield (Campus Wakefield)
600 East 233rd Street, Primer Piso (Pregunte a seguridad para obtener indicaciones)
Bronx, NY, 10466
De lunes a viernes: de 8:30 a 17:00.

Gestión de la información sanitaria
Campus de Westchester Square
2475 Avenida St. Raymonds, Segundo Piso, Habitación 2-9
Bronx, NY 10461
De lunes a viernes: de 8:30 a 17:00.

Gestión de la información sanitaria
Moses Campus and Children’s Hospital at Montefiore Einstein (CHAM)
3411 Wayne Avenue, Sexto Piso (Pregunte a seguridad para obtener indicaciones)
Bronx, NY 10467
De lunes a viernes: de 8:30 a 17:00.

Gestión de la información sanitaria
Campus Hutchinson Montefiore Hutchinson
1250 Waters Place, Vestíbulo principal
Bronx, NY 10461
De lunes a viernes: de 8:30 a 17:00.

Para solicitar copias de registros de alguna de nuestras siguientes centros médicos, póngase en contacto con:

Burke Rehabilitation Hospital
914-597-2460

Montefiore Einstein Advanced Care
914-418-6282

Hospital Montefiore Nyack
845-348-2527

Hospital Montefiore St. Luke's de Cornwall
845-568-2520

Grupo Médico de Scarsdale
914-723-8100, Extension 158

White Plains Hospital
914-681-1105

Montefiore Mount Vernon
914-361-6406

Montefiore New Rochelle
914-365-3505