A personal health record (PHR) is a collection of important information that you actively maintain and update about your health or the health of someone you’re caring for, such as a parent or a child. The more complete and accurate your health information is, the better tool you have for actively participating in your own quality healthcare.
We understand the importance of maintaining a PHR, and at Gaylord we value the concept of providing our patients with a copy of their health information so it may be used to support ongoing care.
For our inpatients, we will send a copy of pertinent portions of your medical record to your requested mailing address after you are discharged, free of charge. This information will help build your own health information profile. For Outpatient and Sleep Medicine patients, we will offer you information on how to obtain a copy of your information and why it is important to build your own record of your care form every provider you are in contact with (see link below).
For more information on why it is important to maintain your own health information, visit: www.myphr.com. Contact Gaylord’s Privacy Officer for any questions you may have about your health information by writing to:
email@example.com or call (203) 741-3303.
Request for medical records
Patients treated at Gaylord Hospital can request a copy of their medical records by submitting a signed authorization form.
Please choose to print the appropriate form, then complete it and return to Gaylord Hospital:
Authorization for Release/Receipt of Protected Health Information