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223 N. Van Dien Avenue Ridgewood, NJ 07450
201-447-8000
Mailing Address:
The Valley Hospital
223 N. Van Dien Avenue
Ridgewood, NJ 07450

Health Information Management

 

The Valley Hospital’s Health Information Management Department contributes to the quality of patient care through the development and maintenance of a comprehensive, centralized medical records system. Copies of medical records can be requested post discharge from the main hospital campus.

General Facts:

  • A medical records release form must be filled out and signed by the requestor. A parent must sign for children under 18 years of age. By law, we have 30 days to fulfill each request. Copies are $.16 per page for paper copies, and $.14 per page for electronic copies, unless the information is to be sent directly to a physician for continuum of care.
  • Copies of medical records can be picked up by another party that is not the requestor as long as this is indicated on the release form. A valid driver’s license, county I.D., or passport is required in order to release protected health information to the requestor or designee.
  • All release of information is done via mail, fax or pick-up. No verbal information is given over the phone at any time.
  • Faxing of protected health information is only sent to physician offices upon the receipt of a completed patient release form in the event of an emergency. Copies of medical records are never faxed directly to a patient’s home.
  • Personal information changes must be submitted in writing with a copy of your valid driver’s license to the Health Information Management Department.

  • To obtain copies of birth certificates, please call the Ridgewood Board of Health at 201-670-5553. The Health Information Management Department does not keep any information on birth certificates.

Printable Forms:

Authorization for Release of Patient Records & Information 
Demographic Correction Request Form
Request for Amendment of Health Information

Hours of Operation:

Hospital:
Monday – Friday: 8:30 a.m. to 5 p.m.
Saturday – Sunday: 8:30 a.m. to 5 p.m.
*Please note: Walk-in hours are only Monday through Friday.

Contact Us:

The Valley Hospital
Health Information Management Department
223 North Van Dien Avenue
Ridgewood, NJ 07450

Phone: 201-447-8111
Fax: 201-447-8648

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