Medical Tests

and Procedures

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Requesting Medical Records

The Health Information Management (HIM) Department was formerly known as Medical Records. HIM provides a wide variety of services that help support clinical documentation. We provide these services throughout all of the Nemours Children’s Clinic locations in Jacksonville, Orlando, Pensacola, New Jersey, Pennsylvania, Delaware, and the Nemours/Alfred I. duPont Hospital for Children in Delaware. 

We promote patient safety through accurate and timely documentation, which is easily accessible to the health care provider.

Medical records may be obtained by the following people:

  • A parent or legal guardian if the patient is under 18 years of age.
  • A legal guardian if the patient is 18 years of age or older, but lacks the capacity to consent for himself or herself.
    Note: Parents or legal guardians seeking to obtain a copy of the Medical Record belonging to their child who is 18 years of age or older and who has the legal capacity to provide his own consent will need to obtain and produce a written authorization from the patient in order to receive or view the patient's Protected Health Information.
  • The patient, if the patient is 18 years of age or older or if the patient is recognized by law to consent for himself or herself despite having not yet reached the age of 18.

Obtain a copy of your child’s medical records

Print and complete the Authorization to Release form. Fax or mail the form to the site where the patient received care.

There are fees associated with receiving copies of your child’s medical records:

State Processing Fee Page Fee
Delaware 5.00 (postage and handling) $0.25 per page
Florida $0.0 $1.00 per page for first 25 pages. $0.25 per page thereafter.
Pennsylvania $16.56 $1.11 per page for pages 1 – 20. $0.84 per page for pages 21 – 60.
New Jersey $10.00 $1.00 per page for pages 1 – 100. $0.25 for pages 101 – 500.

Any express mail or special handling charges will be applied.

Records are normally processed within 5–7 business days.

Release or authorize a disclosure of your child’s medical record

Print and complete the Authorization to Release form. Fax or mail the form to the site where the patient received care.

Revoke authorization

To revoke authorization, you will need to submit your request in writing. You will also need to list the date of the authorization that you would like to revoke. Please note: Nemours will not be liable for any prior releases that were made based on this authorization.

Fix an error in your child’s medical record

Print and complete the Request for Amendment form. Fax it to the site where the patient received care. The provider will review your situation and the HIM manager or designee will notify you regarding the outcome of your request.

Restrict access to your child’s medical record

Print and complete the Request for Restriction form.  Fax it to the site where the patient received care. The HIM manager or designee will notify you regarding the outcome of your request.

Request copies of your child’s X-ray

Contact the location where the X-ray was performed:

Delaware

Florida

New Jersey

Pennsylvania

Other Nemours Websites
X

Our Locations

Delaware

Hospital
Children's Clinic (specialty care)
Cardiac Center
Pediatrics (primary care)
Health Clinic (senior care)

Pennsylvania

Children's Clinic (specialty care)
Pediatrics (primary care)
Pediatric Partner Hospitals