Access Medical Records (2024)

Ways to request a copy of your medical record:

MyChart
Parkview Health patients can now request copies of their medical records using the electronic request form within their Parkview MyChart account.

If you do not yet have a MyChart account, you can easily create one on theMyChart websiteby clicking the orange Sign Up Now button.

Records will be delivered electronically back to your MyChart. Our goal for delivery is within 3 business days, but due to the volume of requests received, it may take up to 14 business days.

Mail or fax

1. Download and complete the Authorization for Release of Information form.
2. Mail or fax the form to our centralized HIM location:
   Parkview Hospital Randallia
   Attn: HIM Release of Information
   2200 Randallia Dr.
   Fort Wayne, IN 46805
   Fax: 260-373-3781

Please allow 7-14 business days for completion of a medical records request. Please note that it can take up to 30 days as allowed by law.

Visit a Parkview Health location
Come to any of the following Parkview Health locations to fill out your request in person.

• Parkview Regional Medical Center
• Parkview Hospital Randallia
• Parkview DeKalb Hospital
• Parkview Huntington Hospital
• Parkview LaGrange Hospital
• Parkview Noble Hospital
• Parkview Wabash Hospital
• Parkview Whitley Hospital
• Parkview Warsaw

Release of Information office hours are Monday through Friday, 8:30 a.m. - 4:30 p.m.

Depending on size of your request, you may be able to wait for copies. We must have a completed authorization in order to begin processing your request. If your request exceeds 100 pages, it will be placed on a CD for $6.50 per the HITECH Act for the electronic portion of your records. There may be an additional charge for any paper copies.

For Parkview Behavioral Health patients
To request a copy of your behavioral health record:

1. Download and complete the Authorization for Release of Information form.
2. Mail or fax the form to our centralized HIM location:
   Parkview Hospital Randallia
   Attn: HIM Release of Information
   2200 Randallia Dr.
   Fort Wayne, IN 46805
   Fax: 260-373-3781

Behavioral health records requests must be approved by the treating provider prior to release. Your records will be mailed to you after your approval is obtained.

For healthcare provider requests

1. Fax your authorization or facility's coversheet/letterhead to 260-373-3781. Please include the patient's identifiers and a description of the information you are seeking.
2. Call 260-373-3780 to talk to a ROI tech directly.

For all other requesters (attorneys, insurance, 3rd party services, etc.)
Please note: We reserve our fax line for continuation of care purposes due to a high volume of requests. If you are not a Parkview patient and requesting medical records from Parkview Health, please send your requestsone of the following ways:

1. Mail (preferred)
   Parkview Hospital Randallia
   Attn: HIM Release of Information
   2200 Randallia Dr.
   Fort Wayne, IN 46805
2. Email your request letters with authorization to ROIRequest@parkview.com

Note: Email transactions are not encrypted and may be viewed by a third party.

Any faxed requests without prior approval will be returned.

Please allow 7-14 business days for completion of a medical records request. Please note that it can take up to 30 days as allowed by law.

Patients may request corrections be made to their charts. There are three ways in which a chart correction can be requested.

MyChart
Parkview Health patients can now request chart corrections using the electronic request form within their Parkview MyChart account.Requests for corrections cannot be submitted through the MyChart mobile app at this time.

If you do not yet have a MyChart account, you can easily create one on theMyChart websiteby clicking the orange Sign Up Now button.

Our goal is to have your chart correction updated within 30 business days, but due to the volume of requests received, it may take up to 60 business days.

LogintoMyChart

• Once logged into MyChart, click the Visits icon in the menu along the top of the screen, then click Appointments and Visits.
• Select the visit you would like to submit a chart correction for, then click the submit a chart correction request link at the top of the screen.

Mail or fax

1. Download and complete the Request for Amendment of Health Informationform.
   If responding to a denied amendment request, download and complete theStatement of Disagreement.
2. Send a complete and signed form via asecureemail, if possible, as email transactions are not encrypted and may be viewed by a third party toHIM-Chart-Correction@parkview.com
3. Mail or fax the completed and signed form to our centralized HIM location:
   Parkview Hospital Randallia
   Attn: HIM Data Integrity
   2200 Randallia Dr.
   Fort Wayne, IN 46805
   FAX: 260-458-5667

Please allow 30 business days for completion of a chart correction request. Please note that it can take up to 60 business days as allowed by law.

Visit a Parkview Health location
Come into any of the following Parkview Health locations to fill out your request in person.

• Parkview Regional Medical Center
• Parkview Hospital Randallia
• Parkview DeKalb Hospital
• Parkview Huntington Hospital
• Parkview LaGrange Hospital
• Parkview Noble Hospital
• Parkview Wabash Hospital
• Parkview Whitley Hospital
• Parkview Warsaw

Our Health Information Management department office hoursare Monday through Friday, 8:30 a.m. - 4:30 p.m.

Please allow 30 business days for completion of a chart correction request. Please note that it can take up to 60 days as allowed by law.

Parkview Health patients can request Patient Identity Changes such as legal name, date of birth, legal sex, and/or social security number with legal identification (required) such as a Driver's License or state issued ID, passport or government ID, birth certificate, social security card, or legal/court document. An insurance card is not a form of legal ID.

Email
Send asecureemail if possibleas email transactions are not encrypted and may be viewed by a third party.

Identity Change Requests should include:

• Parkview medical record number (if known)
• Patient name
• Date of birth
• Legal sex
• Social security number
• Address
• Phone number
• Photo(s) of legal identification

Included items should be sent toHIM-Identity-Correction@parkview.com.

Please allow five business days for a response of completion.

Visit a Parkview Health location
Come into any Parkview Health facility (hospital, physician's office or walk-in clinic) with legal identification to request an update be made to your patient identity on your Parkview Medical Record.

Identity theft
If you believe you are a victim of identity theft, you should do the following:

• Report any suspected identity theft to law enforcement.
• Complete an affidavit of identity theft. An example of an eligible affidavit is IRS Form 14039, Identity Theft Affidavit.
• Contact the Parkview Compliance Hotline at 260-373-5121 or 855-773-0012.