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Health Information Services
To request records
Call (402) 274-4366, ext. 6424
Or fax Request Form to (402) 274-6118
Patient Request for Medical Records Form
Information we will need:
►Full name
►Date of birth
►Specific items requested
►Reason for request
►Date of appointment (if the records are needed for a doctor's
appointment)
►Phone numbers where we can reach you
The first 10 copies are free. After that, each copy is $0.50 per page.
Click here to read
our
Privacy Policy.
Other Information
You must sign an authorization form if you want us to release your
information to someone else. These forms are available at Nemaha
County Hospital, Health Information Services Department. A competent
adult must sign for themselves. A spouse cannot give authorization
for release of records. If the adult is not competent, the Power of
Attorney can sign the authorization. A minor must have signed
authorization by a parent or legal guardian until they reach the age
of 19. You may be asked to produce Power of Attorney, guardianship,
or custody papers before we release the records.
If you have not been seen in the last 10 years, your record has been
destroyed.
A personal health record is a collection of important information
about your health. You actively maintain and update your PHR with
medical information from all you healthcare providers. This can help
improve the quality of care you receive, help reduce or eliminate
duplicate tests allow you to receive faster, safer treatment and
care in an emergency, and empower you to play a more active role in
your own healthcare.
If you would like more information on personal health records,
please visit
www.myphr.com or contact the Health Information
Services Department at Nemaha County Hospital.
Hours of Operation
Monday-Friday
7:00 a.m. - 4:30 p.m.
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If
you would like your Medical Records, contact us at (402)274-4366.
Please
click here for the current Outpatient Service Calendar.
Need a ride?
Neighbor to Neighbor provides
medical transportation to
senior citizens & disabled citizens
in Nemaha County.
Because we are volunteer-based,
we can't guarantee that we
can meet all requests,
but with 24-hour advance notice,
we can meet most of them.
Click here to contact
Neighbor to Neighbor.
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