Medical
Record Request
Medical Record Request
Spine Institute of New York maintains compliance with HIPAA regulations regarding
confidentiality of patient’s medical records. A signed Release of Medical
Authorization Form (download
now) is required from the patient to obtain copies of medical records.
There is a fee associated with the copying of medical records.
Film Requests
A patient may sign out their films. The patient is responsible for the safekeeping
and return of the films for any future visits.
Please contact our Medical Records
Office at (212) 844-6710 for information and fees associated
with the copying of films. Films are sent via Regular Mail
unless the patient provides us with a credit card or Federal
Express Account number.
Submitting Requests
Download a Medical Information release form by clicking here.
After downloading the form and
completing the information, please use the following mailing
address or fax number to submit your medical record/film request.
By fax: (Attention: Medical Records)
Dr. Bitan & Neuwirth (212) 844-6677
Dr. Kahn & Lee (212) 844-8681
Dr. Casden (212) 844-6643
Dr. Kuflik (212) 844-8697
Mailing Address:
Spine Institute
Beth Israel Medical Center
10 Union Square East, Suite 5P
New York, NY 10003
Attn: (Write Your Spine Institute Physician)
The Spine Institute will make
every attempt possible to process medical record/film requests
in a timely manner. Some medical record/film requests may be
in an off-site storage and may take up to ten business days
to process. |