Your baby's birth certificate is a very important legal document. For information about how to obtain a copy of a birth certificate, please call (313) 876-4134.Ĭity of Detroit Completing Your Baby's Birth Certificate Birth certificates are created and registered for all infants delivered in the hospital or brought to the hospital immediately following birth. Birth certificates created by the hospital are forwarded to the City of Detroit Department of Health and Wellness Promotion, Vital Records Division, office where they are recorded and permanent copiesĪre retained. Obtaining/Completing Birth CertificatesĭMC does not provide copies of birth certificates. Authorizations for sensitive information must specifically refer to the This includes psychiatric, drug and/or alcohol abuse, HIV/AIDS, and sexual abuse information. Authorizations signed by a representative must contain a copy of the guardianship papers or power of attorney.Ĭertain information requires a special authorization covering sensitive information. The patient's signature or a patient's legal representative’s signature.Specify authorization’s expiration date if desired (see ROI form).To whom the information is to be sent (name and address).Purpose for which the information may be disclosed.type of report/information and dates of service, etc.) Specific information being requested (e.g.Patient's full name and date of birth (list any other names the patient may have had).A valid authorization MUST contain the following information or the request will be returned: Records can be released to anyone that the patient authorizes (in writing) to receive such information. You have the right to have a family member and your own physician notified of your admission to the hospital. Exceptions are as required by law, transfer ofĬare or third party payor/insurance contract. No one outside the hospital, except your referring physician, may be given a copy of your record without your written permission. Your medical record will be treated as confidential by the hospital staff. If you have any questions, do not hesitate to call us. If you are requesting records sent to you directly and not your physician you will receive a bill. Please Note: Address the envelope Attn: Medical Records Our average turnaround time for processing requests for records that are on-site is 5-7 business days, off-site records 2-4 weeks. Medical Emergencies will be faxed directly to a physician or medical facility. Records will be sent to you via the US Mail. Place the completed authorization form in an envelope and mail - or fax- to the Medical Records department at Children’s Hospital of Michigan. Be sure to specify the dates of service and type of information needed (i.e., ER report from specific date visited). Please Note: The second page contains the fees for obtaining medical records.Ĭomplete all areas. Download, print and complete the authorization form, DMC Authorization to Release Medical Information and Fees. ![]() To receive medical records, you must complete and submit the DMC Authorization to Release Medical Information. ![]() You have the right to request the disclosures we made of medical information Once discharged, you may request and obtain a copy of your record for a reasonable fee. You have the right to see your medical record at a time suitable for both you and the staff. This minor has the exclusive right to consent to disclosure of their health records.Request Medical Records Release of Information The minor must be living apart from the minor’s parents or legal guardian. This includes information on sexually transmitted infections, pregnancy, contraception and mental health.Īn unemancipated minor 14 years of age or older has the legal right to consent to and receive medically necessary healthcare. The minor can legally choose to keep this information confidential and control access to the disclosure of his or her medical records. Confidentiality ExceptionsĪ minor may consent to certain care that does not require parental or guardian consent. We encourage parents and older children to read the notice of privacy practices to understand your rights to personal health information. To request a copy of your child’s UNM Health System medical records, please fill out a disclosure form: Under state and federal law, a parent or guardian may access their underage child’s records, with a few exceptions.
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