(717) 485-3155
214 Peach Orchard Road, McConnellsburg, PA 17233
  
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Fulton County Medical Center

Medical Records/Health Information Management (HIM) at Fulton County Medical Center

Medical Records/Health Information Management (HIM)
 
214 Peach Orchard Road
 
McConnellsburg, PA 17233

Phone 717-485-6111  Fax 717-485-6133

Hours of Operation
Monday – Friday 8:00am – 4:30pm


Obtaining Copies of Your Medical Records

 

 

Before the HIM department can release medical records, patients are required to provide a written request that includes the following:

· Patient's full name and date of birth
· Name of organization from which records are requested
· Name of organization or individual to whom records are to be released
· Purpose of the request
· Specific information being requested (i.e., dates of service, type of report, etc.)
· An expiration date for the authorization, if desired. (Cannot exceed one year from effective date)
· Patient's signature or signature of legal representative.
· Authorizations signed by a legal representative must contain a copy of Personal Representative papers (i.e. Power of Attorney)
· Date of signature

A release of information form can be downloaded by clicking on the link below. The form can then be completed and returned to the HIM department in person, by mail, or fax at the address or fax number above.

Release of information form

We will process your request as soon as possible. However, please remember that, by law, we have 30 days to complete release of information requests.

Anyone picking up medical records will be asked to show a government-issued form of ID (driver's license or ID card) before records will be released.

If the person picking up your medical records is not listed on the original authorization, please provide an addendum (letter) with the date and your signature authorizing the designated person to pickup the records. If we can confirm your signature and the identity of the receiving individual, we will release your records to that person.

Please note that we are not able to give out medical information over the telephone. We are not clinical personnel and cannot explain test results.

Non-Custodial Parents

Non-custodial parents have an equal right to a child's medical information, with certain exceptions, as required by law. In the event that a non-custodial parent is stripped of these rights, by virtue of a custodial agreement, court order, etc., we must have written documentation to support this. Otherwise, both biological parents have the same rights to their child's medical information, regardless of the custody situation.

Requesting Records of Deceased Individuals

The number of persons who can request records of a deceased individual is very limited. Written proof is required that you are one of the following:

· The Executor or Administrator of the deceased's estate (court provides Short Certificate Form)
· Family member or other individual who was involved in the patient's care or payment of care prior to death
· In the absence of an Executor or Administrator, the next of kin who is responsible for disposition of the remains

Please note that items such as Power of Attorney, Durable Power of Attorney, or decision-maker in an Advance Directive are no longer valid after the death of the patient.


 

 

Fulton County Medical Center Patient Portal

The FCMC Patient Portal is an online tool where you can access your own health information without the need to contact the Medical Records Department.

· Available 24 hours a day, 7 days a week
· Mobile version is available

Click on the following link to be taken to the Patient Portal Page of the FCMC website:  Patient Portal