Use the campus map to navigate. When completing the form, please make sure you provide all information in Section A. University Hospital To request a copy of a medical record or radiology images (x-ray films) from University Hospitals Health Information Management (Medical Records) department, begin by printing a HIPAA-compliant authorization form available inEnglish,Spanish, CreoleorPortuguese. Cancer Center Lower Level Learn more about what the McKinley Health Center offers to our students. This applies to medical images released through Image Management & Exchange in Wisconsin. Please try again. Call(608) 263-6030. Please submit a completed Amendment Request Form to FAX-Amendment@uchealth.com or fax the request to 513-584-5191. Email: Drake-Medical-Records@uchealth.com WebTo have records sent to McKinley Health Center, complete and submit this form. These requests are submitted to the Medical Records Department automatically and will be forwarded. Requests for records from third parties are charged the following fees. Harvey, IL 60426, Hours of Business: Monday to Friday, 8 a.m. to 4:30 p.m. If there is no surviving spouse, you are an authorized relative if you are the eldest child, a parent, sibling or other relation that is named and defined in the Illinois rules of intestate succession (755 ILCS 5/2-1). Sign up for our Newsletter Enter your email. If the request takes longer than the allotted time, an extension letter will be sent to you within an appropriate time frame explaining the reason for the extension. UW Health Authorization for Disclosure of Protected Health Information Form(pdf), Autorizacin Para Revelacin de Informacin de Salud(pdf), Mail or fax the completed form to the following address:CiOX Health1401 E State StRockford, IL 61104CiOX Fax: (779) 256-2411Continuation of Care Fax: (779) 256-2402. Sign the form and send it to the address below (the one of your visit): You are the power of attorney for health care that goes beyond the patients death or you are the administrator of estate. Medical records can be delivered via email, CD or paper form. Mail the completed form to: If you are using UW Health's authorization form to request medical records and images for care provided at the following locations, list the name of the location in the "Other Healthcare Organization" option: UW Health Rehabilitation Hospital (offered as its own option on the UW Health authorization form). *Note that records available through the portal are not necessarily historically complete. If you disagree with the explanation, you can submit a one-page, written statement of disagreement or you can ask that your request for amendment and explanation of the denial be included in any future disclosure of the pertinent medical record information. And we make breakthroughs - scientific and educational - with an influence far beyond the region. Please contact Health Information Management (HIM) as below. For questions about amendments, please call (608) 203-1449 between 8 a.m. - 4:30 p.m., Monday through Friday. How to create a FedEx account. var iframe = $("#MRO_request_frame"); Les rcepteurs DAB+ : postes, tuners et autoradios Les oprateurs de radio, de mux et de diffusion. Chicago, IL 60637, Ingalls Memorial Hospital Schedule an Appointment Find a Condition or Service The University of Illinois Hospital & Health Sciences System is a member of the Illinois Medical District, one of the largest urban healthcare, (OCC) opened with a fully computerized medical record system, allowing patient records to be accessible electronically. The ROI office will fax the records directly to your doctors office. (31 dollars and 56 cents) Send Payment for processing fee with the request. Providing a copy of the document(s) in question, strike through the information you do not agree with, and writing in what you believe to be the correct information is very helpful and can expedite the process. If faxed directly to Image Management & Exchange, standard requests will be processed by the next day and sent viaFirst-Class U.S. Mailat no cost. What information is required to obtain the medical record of a deceased person? If you have any questions regarding form Please allow 7-10 business days to process your request. Lgende: Administrateurs, Les Brigades du Tigre, Les retraits de la Brigade, 724293 message(s) 35301 sujet(s) 30069 membre(s) Lutilisateur enregistr le plus rcent est descanic, Quand on a un tlviseur avec TNT intgre, Quand on a un tlviseur et un adaptateur TNT, Technique et technologie de la tlvision par cble, Rglement du forum et conseils d'utilisation. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. Parents may request copies of their minor childs records if they have legal custody of the child and the child is not legally emancipated. The average turnaround time is five to seven business days. $("#MRO_request_container").hide(); Encuentre las ltimas normas para visitantes y cita. Pathology Department Illinois : (779) 696-9730, Pathology Department Wisconsin: (608) 263-8443. You may access your healthcare records online through our patient portal,UK HealthCare MyChart, starting June 5, 2021. The information is compiled in anticipation of or for use in any civil, criminal or administrative action or proceeding. Fax: 513-298-7765. UIC and UI Health bring together expertise and curiosity across diverse disciplines like few others in the nation. Please contact the HIM Department at 352-594-0909 or 352-265-0131 with questions. (312) 926-2000. Email: UCMC-Medical-Records@uchealth.com To have records sent to McKinley Health Center, complete and submit this form. Call 217-545-4331 or email roi@siumed.edu for further assistance. For medical records and images when care was provided at one of the following locations, see requesting options below: UW Health Illinois-based hospitals and clinics. 2023 Indiana University Health, Inc. All Rights Reserved. Please note, there may be a charge for your records. 263a). You may also send your request via mail to the appropriate UC Health location address listed on this page. Parlez-en ! Below are additional ways you can request copies of your medical records from most UW Health sites (exceptions are noted below). A legal document stating next of kin or executor of estate is required. MyChart users can complete a Release of Information request by selecting Other Resources and then selecting Request My Medical Records. Write your name, date of birth and what they need on the office fax cover sheet; Write STAT at the top of the page; Fax the form to the ROI office at (352) 265-1098. What if the provider has left the organization? - no notary required). If fees apply, the following methods of payment will be accepted: Online or via phoneFor care received at any UW Health facility, payment can be made via credit or debit card:Make payment onlineCall: (800) 367-1500. 800 Rose St. iframe.attr("src", iframe.data("src")); UW Health Image Management & Exchange1212 Deming WayMail Code: 9704-1st FloorMadison, WI 53717Fax:(608) 263-0146. Requested images will be mailed to the addressed listed in section 4 (disclosed to). All rights reserved. You will need a valid photo ID and mobile phone to complete the electronic request. NEW! WebYou can either download the form from the link below or obtain it by contacting: Health Information Management (HIM) Phone: 312.996.3350. Please download and complete theauthorization formto submit your medical record request by fax, email or mail. We are located at the Souteast corner of campus. Hospitals With Paperless Patient Records. Please see the "How To Run On MAC" file on the disc for further instructions. Please note: UW Health SwedishAmerican authorization does authorize release of records containing psychiatric diagnoses or treatment, alcohol or drug abuse information, or HIV or AIDS information, unless you specify any exceptions on the Other line in section 3 of this form. Please indicate a specific deadline on your consent form if the information is required sooner due to a medical appointment or emergency. 0 Fill out the whole form including the kind of records and dates of your visits. Find the latest visitor & appointment guidelines. For information about your care at SIU Medicine. If the author of the document has left the organization, the document can no longer be amended. A visit to the hospital can be overwhelming. 150 Bergen StNewark, NJ 07103(973) 972-4300, Quality Health Care at University Hospital, 2021 - 2022Community HealthNeedsAssessment. IU Health Arnett Hospitals and ClinicsHIM Release of Information2600 Greenbush, 2nd FloorLafayette, IN 47904765.838.4154 | 765.448.8722 (fax)ROI-Arnett@iuhealth.org, IU Health Ball Memorial HospitalHIM Release of Information2401 University Ave.Muncie, IN 47303765.747.3228 | 765.741.2895 (fax)NortheastRegionROI@iuhealth.org, IU Health Blackford HospitalHIM Release of Information410 Pilgrim Blvd.Hartford City, IN 47348765.747.3228 | 765.741.2895 (fax)NortheastRegionROI@iuhealth.org, IU Health Bedford HospitalHIM Release of Information2900 W. 16th StreetBedford, IN 4742812.277.4175 | 317.968.1413 (fax)ROISCR@iuhealth.org. Please be aware that patients no longer may pick-up images in person. You may fax the form to 217-545-7880. Questions about release of information? Release of Information for all UChicago Medicine Health System locations is now centralized. Please contact those respective departments to obtain those records. To request your complete UK HealthCare record, follow the directions below. WebMedical Records University of Chicago Medicine Medical Records Dept. M_>0|8VFU5#jH+kT|~$6mLpu1}D>-fiSqwu9=_(V![WGf{p)=_k|X&3_. If you would like to have your medical records transferred after finishing your program please call the Northwestern Medicine medical records department at 312.695.8642 to pick up a copy of your records or have a copy of your records sent to your new provider. This Notice of Privacy Practices (Notice) describes the privacy practices of the University of Illinois Hospital & Health Sciences System (UI Health). Box 19641 University of Chicago Medicine 2333 Alumni Park Plaza Ste. View your immunization record and allergies. You may print the authorization form and mail or fax it. For all other requests, print and fill out the Authorization for Release of Confidential Medical Information form. We are a division of student affairs AT Illinois, Several important forms can be downloaded from our website, Immunization compliance can seem complicated. Submit form directly to your outside provider. *(Note: this option is available to current students and students graduating on or after May 2012. You will be guided through every step of the process. If denied, can I re-request the amendement? Requests for legal or insurance matters will be charged a per-disc fee. Providing safe, high-quality and cost-effective care for our patients is our foremost responsibility. Communicate with your doctor, view test results, schedule appointments and more. Box 19641 Springfield, IL 62794. Fax: 513-584-0739, Daniel Drake Center for Post-Acute Care Image Management & Exchange and the Medical Imaging Departments do not handle these types of requests. The information is not subject to disclosure to you under the Clinical Laboratory Improvements Amendments of 1988 (42 U.S.C. Walk-In Locations: $("#MROeXpress").click(function() { Additionally, using one form for each requested amendment is helpful in expediting the process when you are requesting multiple amendments. Please keep a personal copy of any information you request to avoid paying for your records. Complete and print theUW Health Authorization for Disclosure of Protected Health Information Form(pdf), Mail or fax the completed form to the following address:CiOX Health8501 Excelsior Dr.Madison, WI 53717Fax: (608) 203-4580. You may becharged a feeto acquire a copy of your medical records. Patients can request copies of medical images for procedures performed at a UW Health location. A quote will be sent securely to the contact person's email address and indicate the total cost for the copies that must be paid in full prior to records being released. Call us at859-323-5117. Submit form directly to your outside provider. Schedule your appointment online for primary care and many specialties. Our Referral Center will connect you with experienced representatives who can assist you and your patient. Beginning June 1, 2021, SIU Medicine does not allow walk-in services for medical record requests. The first copy of your records is free. The doctor's office can call 859-323-5117 to request your medical records. ',CXK~.|Qz(/cNt-C $x.b1/OO_a63->FaU[Lspfy|4w>?=J5AitYfb|2F2 BV;}QU,$G}5Lz9saW2r`p]0{zV2wSvw'n+L2]6Wm>^`O;. Employee Health Portal is a software application for UI Health employees, UIC campus employees and students from the UIC health science colleges. Please note: The UW Health authorization does authorize release of records containing psychiatric diagnoses or treatment, alcohol or drug abuse information, or HIV or AIDS information, unless you specify any exceptions on the line above the signature line. Include your contact information, date of birth and University ID number (UIN). Health Information Management, Room C601 hbbd``b`z$Xg`, "Dl@": Apply to Medical Assistant, Data Analyst, Office Aide and more! Hospitals IL Northwestern Memorial Hospital. If there is any information you cannot find on our website, give us a call at 217-333-2700. Send the authorization, a copy of the administrator of estate, the relative certification and a copy of the death certificate to the location of the patients visit as noted above. It applies to the health care services you receive at UI Health, including its physicians, nurses, staff, and volunteers. If you have any questions regarding form $(document).ready(function() { For questions, please see options below. WebTo have records sent to McKinley Health Center, complete and submit this form. Allow up to two weeks for processing. What is the cost for amending medical records? We take pride in serving Chicago and are committed to keeping your family healthy. Unfortunately, UW Health is unable to provide technical support for this viewer. Click Here to learn about our most recent COVID-19 updates including vaccine information, visitor restrictions, and more. How do I get my records permanently removed from UW Health? UI Health is here to work with you and your patient to ensure they safely receive the care and specialized services they need during the COVID-19 Pandemic. UW Health patients can authorize communication between UW Health provider(s) or other providers and another individual. if (e.data == 'hello') { If the copies are needed for an upcoming doctor's appointment, the date of appointment should be documented on the request. Email forms can be sent toroi@siumed.eduor mail your completed form to: SIU Medicine The doctor's office can call859-323-5117to request your medical records. Download and complete the following authorization form. The Medical Records Departments hours of operation are Monday Friday, 8 a.m. 4 p.m. Download and complete theUW Health Authorization for Disclosure of Protected Health Information Form(pdf) form. Call(608) 263-6030. 3 MIN AWAY. The information is complete and accurate as reviewed by the author. Submit form directly to your outside provider. window.location.reload(); WebComplete Patient Paper Copy: Illinois State Comptroller Fee Schedule (Capped at $50) Return the necessary forms to the appropriate hospital: Loyola University Medical Images and pathology slides cannot be requested in this manner. UW Health maintains an extensive electronic image exchange network with many medical institutions in Wisconsin and other large and notable healthcare organizations in surrounding states that can be used in place of mailing or hand-carrying image discs. Consider using a newer browser such as Chrome, Edge, or Firefox. You can request that any information contained in multiple locations within your medical record be amended per your request. Email: wch-medical-records@uchealth.com Requests to forward pathology material for continued medical care at another facility require a written request from that facility. The information contained within the UW Health record cannot be permanently removed in its entirety. WebUniversity Hospital 150 Bergen Street Medical Record Correspondence, Room B417 Newark, NJ 07103 Upon receipt, the medical record and/or radiology CD copy will be Health Service - Chicago 675 North St. Clair Street, Suite 18-200 Chicago IL 60611 mail-opened Send in your medical record request You can submit the completed form by email, fax, or direct mail. Legal or insurance-related requests should be submitted by fax by the entity requesting the images. Lyft in 4min. Verification of identity may be required. Phone: 773-702-1637. Our free and secure online tool for you to view medical records and communicate with your healthcare providers. Records included extend as far back in time as the electronic health record used by the particular clinic, usually 1-2 years. Request for Amendment of Health Information. Please be aware that other authorizations may handle these protected conditions differently. You can request an amendment of your medical record by: Completing and printing the UW Health Request of Amendment of the Medical Record (pdf) form. TheNotice of Privacy Practicesdescribes how medical information about you may be legally used within UC Health and disclosed to other health care providers, businesses or government agencies. Copies made from Microfiche or Microfilm will be charged $1.97 (one dollar and 97 cents) a page regardless of the number of pages. Sign in to view, organize, and share your VA medical records and other personal health information. Student Records | Office of the Registrar | University of Illinois Chicago Office of the Registrar Student Records Apostilles Campus Certificates Apply to complete a campus certificate Patients and proxies can request records through their MyChart account for records starting 5/6/2012. In fact, UIC reported a record $459.4 million in annual sponsored research awards in FY2022, the fourth consecutive year of record awards, which underscores the universitys commitment and excellence in research and discovery. We prepare future doctors and health care providers who are second-to-none in their abilities and compassion. Patients should be prepared to provide a complete mailing address at the time they call in case the facility does not have an existing electronic image transfer connection with UW Health. There is no charge for copies of your medical record requested from and sentdirectly to other hospitals, clinics or physicians for further medical care. How to get printed copies of your records Your doctor may request your records. Download the Medical Records Release Form. WebSt. Medical Record Correspondence, Room B417 B-52 PHARM MC 772 833 South Wood Street Chicago IL 60612 : Department Home Page Department Roster Fax Payor will need to obtain and provide a FedEx Shipping Account Number as FedEx does not accept credit card information to be written on forms. In Wisconsin, if options 1, 2 or 3 do not work for your specific circumstance, please call Image Management & Exchange at(608) 265-7118to learn about alternative arrangements. We will fax the requested records directly to the doctor the day before or the day of the appointment. A standard fee of $1.00 per page will be charged for additional copies. Submit form directly to your outside provider. Check any applicable boxes if your records contain HIV/AIDS testing, alcohol/drug abuse treatment and/or mental health treatment. Central Medical Records Due to the amount of requests we receive on a daily basis, we require that these requests be submitted by fax. So will we. If you would like to request hard copies (paper) of your medical records and radiology images, please submit two separate authorization requests. Please note, additional information may be needed when specific dates are not indicated. Release of Information Section 150 Bergen Street Please allow additional time for delivery. Medical images performed in Illinois or Wisconsin must be requested and released separately. %%EOF }; hZmo8OX$ER6-r T[7 201 E. Madison St. University of Illinois Hospital1740 West Taylor StreetChicago, IL 60612, 2023 University of Illinois Hospital & Health Sciences System, UI Health Among 10 Percent of U.S. Please see Costs section below for information about potential charges. WebIU Health saves medical records for a minimum of eight years. There is no cost for records going directly to other healthcare providers. The University of Illinois is committed to protecting the privacy and security of health information, as mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of To view imaging discs sent from UW Health, your computer must meet the following requirements: Microsoft Internet Explorer 6.0 or higher. An authorization form and a pre-addressed, stamped envelope will be sent to your address. Access your medical records online, anytime. Please have your photo ID ready. For additional information, contact the Health Information Management (Medical Records) department at 973-972-5608. The approved form and the amended document(s) are sent to you via U.S. mail. Download and print the Authorization to Release and Disclose Patient Information form. If you are requesting your medical record by email or fax, please use the corresponding email or fax for the specific site where you received care: UC Medical Center The author of the document decided to amend part of your request, but not all. } Fax: 513-418-2533, West Chester Hospital $@ "Hdu ]A$8HL M6 You may print the authorization form and mail or fax it. If you have any questions regarding form completion or obtaining copies, email [emailprotected]illinois.eduor call Medical Records at (217) 333-2700. Requests for second opinion consultation at another facility must be initiated by your physician and done in consultation with a surgical pathologist. Call(779) 696-4540, Mail the completed form to the following address:UW HealthHealth Information ManagementAttention: Release of Information8501 Excelsior Dr.Madison, WI 53717, Or fax the completed form to (608) 262-6663Questions about release of information in Wisconsin? Learn more about the requirements, Schedule and appointment with your Primary Provider, Download the forms you need before your next appointment, Health Resource Centers provide free over-the-counter self-care supplies, Download the Wellness App today to connect with resources at McKinley and across campus, Learn more about the specific costs and deadlines for services at McKinley Health Center, Take a look at a few commonly asked questions by new students. What if I don't know the date of the document I want amended? If your relative has died, you can ask for copies of their medical records if: Pricing is from the State of Illinois 2022 copying fees (735 ILCS). Notes: You may be charged a fee to acquire a copy of your medical records. Any other requests must be done by completing an authorization. If you recently had an appointment, please review your After Visit Summary to find an activation code and instructions on how to access your MyChart account. There is no charge for requesting an amendment to your medical record. Please provide the complete mailing address. Learn more about clinical trials and find a trial that might be right for you. Records requests with sensitive information that are being directed to a third party are subject to require a witness signature. WebThe University of Illinois Hospital and Clinics is a patient-centered organization. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. For the eighth time in the last nine years by Hospitals & Health Networks magazine in conjunction with the American Hospital Association has recognizes UI Health as a leaders in implementing health information technologies to support patients, providers, and aspects of business operations. The information is contained in psychotherapy notes. Access your VA medical records online. Get copies of your VA medical records online, by mail or fax, or in person at our VA Hines health care Release of Information office. The author of the document is no longer employed by UW Health. What does that mean for patients of IU Health University Hospital? Complete the PDF form found at the link below: You may fax the completed form to859-218-7658or mail it to a Health Information Management office listed below. If you have any questions regarding form completion or obtaining copies, email [emailprotected] or call Medical Records at (217) 333-2700. You are an authorized relative if you are the surviving spouse of the patient who has died. Complete the authorization form, then either mail back using the addresses below or fax the form to the medical records department at 859-218-7658. WebMedical Records Requests Request Online. Requests can only be for yourself, as the records are delivered through MyChart. $8-10 on UberX. Get a Second Opinion. Donations to UW Health are managed by the University of Wisconsin Foundation, a publicly supported charitable organization under 501(c)(3) of the Internal Revenue Code. Au total il y a 74 utilisateurs en ligne :: 2 enregistrs, 0 invisible et 72 invits (daprs le nombre dutilisateurs actifs ces 3 dernires minutes)Le record du nombre dutilisateurs en ligne est de 850, le 05 Avr 2016 19:55 Utilisateurs enregistrs: Google [Bot], Senuphile 2023 The University of Chicago Medical Center. Les metteurs TNT, leurs caractristiques et leurs zones de couverture, Rception de la TNT en maison individuelle, Rception de la TNT en collectif (immeubles, lotissements, htels), La TNT dans les tablissements recevant du public (htels, hpitaux), Les rcepteurs avec TNT intgre (crans plats), Les adaptateurs pour recevoir la TNT gratuite en SD ou HD, Les terminaux pour les offres de la TNT payante, Les autres chanes et services du satellite, cble, TV par Internet, Les offres incluant les chanes de la TNT, Le matriel (dcodeurs, paraboles, accessoires ), La technique et la technologie de la TV par satellite, La technique et la technologie de la TV par le cble, La rception TV par Internet et rseaux mobile (3G/4G/5G), L'actualit des offres TV par Internet et rseaux mobile, Les offres TV des rseaux mobile 3G/4G/5G, La technique et la technologie de la TV par ADSL et fibre, La technique et la technologie de la TV sur les rseaux mobile, Meta-Topic du forum de la radio Numrique, Les zones de couverture et la rception DAB+. H%;q+&g8Gb*%3b,qc "KJSS$ Q>rJ}5%Z8H*]|Lcq,1,aSS CuJgpR"O2Nf*HcDh1!MRJ9X {S[C Students attending / graduating prior to 2012 must use one of the options below. If necessary, overnight/expedited shipping via FedEx is available at a cost to the patient or receiving facility. If this is an urgent request, please contact the Medical Records Department where you received your care. Reasons a request for amendment may be denied include: UW Health did not create the information and you must return to the source to amend their document. MC 0978 5841 South Maryland Ave. Chicago, IL 60637 Phone: 773-702-1637 Fax: 773-702-7591 or 773 To obtain a copy of your medical records from a University Hospitals inpatient facility or outpatient Due to the strict procedural and highly-regulated steps involved in the release of information process for requests directed by the patient, a fee may be charged for this service: Applicable fees for patients whose care was provided in Wisconsin. Lexington, KY 40517. Your request will be reviewed and approved or denied within 60 days of receipt of your amendment request. Web20 University of Illinois Hospital Medical Records jobs available on Indeed.com. To have records sent to McKinley Health Center, complete and submit this form. 2023 SIU HealthCare all rights reserved, Diabetes, endocrinology & metabolic disorders, Authorization for Release of Confidential Medical Information form. Springfield, IL 62794. The University of Illinois Hospital and Clinics is a patient-centered organization. `3rA_NL(D#(yG$_E7-w2[y*C%(PKu8j|QFgg:&wP5_5D _t ^EY6!>|->^NHzUJqf-cZ]. Request prescription renewals when its convenient for you, not just when our offices are open. Patient Information, including information for Appointments, Billing, Financial Assistance and Pharmacy. UW Health Madison-area hospitals and clinics. IU Health Bloomington HospitalHIM Release of Information2651 E. Discovery PkwyBloomington, IN 47408812.353.9475 | 317.968.1413 (fax)ROISCR@iuhealth.org, IU Health Frankfort HospitalHIM Release of Information1300 South Jackson StreetFrankfort, Indiana 46041765.656.3010 | 317.968.1321 (fax)HIMNorthwestregion@iuhealth.org, IU Health Jay HospitalHIM Release of Information500 W. Votaw StreetPortland, Indiana 47371260.726.1897 | 260.726.1979 (fax)NortheastRegionROI@iuhealth.org, HIM Release of InformationIU Health Methodist Hospital1701 N. Senate Blvd.Indianapolis, IN 46202317.962.8670 | 317.968.1177 (fax)medicalrecords@iuhealth.org, IU Health Morgan HospitalHIM Release of Information2209 John R. Wooden DriveMartinsville, IN 46151765.349.6525 | 317.968.1413 (fax)ROISCR@iuhealth.org, IU Health Paoli HospitalHIM Release of Information642 W. Hospital RoadPaoli, IN 47454812.723.7429 | 317.968.1413 (fax)ROISCR@iuhealth.org, IU Health Tipton HospitalHIM Release of Information1000 S. Main StreetTipton, IN 46072765.675.8542 | 317.968.1321 (fax)HIMNorthwestregion@iuhealth.org, IU Health White Memorial HospitalHIM Release of Information720 S. Sixth StreetMonticello, IN 47960574.583.6153 | 317.968.1321 (fax)HIMNorthwestregion@iuhealth.org.
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