检查或复制
申请修订或附录:

Please send your request to Health Information Management Services - 450 Broadway, Mail Code 5200, Redwood City, CA 94063 or fax it to650-725-9821。医院的HIMS部门也可以提供申请表格和援助的副本。他的部门将在收到并在收到六十(60)天内收到和处理您的请求时确认您的请求。在某些情况下,他的部门可能需要额外的三十(30)天延长来处理您的请求。

医院披露会计:

要申请披露会计,请打印并完成请求会计披露表格。您可以在450百老汇,邮政编码5200,Redwood City,CA 94063或传真到邮寄表格650-725-9821。申请表格和援助副本也在450百老汇,Redwood City,CA 94063的C14室发布信息办公室发布。

Request restrictions:

可能要求在任何时间限制。为了使a restrictions request, please print and complete a Request for Restrictions Form. You may either mail the form to the SHC Privacy Office, 300 Pasteur Drive - MC 5780, Stanford, CA 94395-5202 or fax it to650-723-3628。医院副本申请表格和援助的副本也在C14,Redwood City,CA 94063的450宽阔的道路上发布。或者,您可以在医院注册过程中要求限制。

要终止医院已接受的限制,请以书面形式发送您的请求到SHC隐私办公室,300 Pasteur Drive - MC 5780,Stanford,CA 94395-5202或传真它650-723-3628。Please include a copy of your original restrictions request or the date, patient name and medical record number that appeared on the accepted request.

Request confidential communications:

要进行机密通信请求,请打印并填写机密通信表单的请求。您可以将表格邮寄到SHC隐私办公室,300 Pasteur Drive - MC 5780,Stanford,CA 94395-5202或传真它650-723-3628。Copies of the Request Form and assistance are also available at the Hospital's发布信息办公室at 450 Broadway, Room C14, Redwood City, CA 94063. Alternatively, you may request confidential communications during the registration process at the Hospital.

Receive a copy of the hospital's notice of privacy practices: