Who is the CMO of Penrose?
Penrose Hospital wants to provide the very best patient care, and our volunteers play an important role in this. As a volunteer, you will derive great personal satisfaction while working with a team of dedicated staff and other volunteers. For more information, …
How do I access my medical records?
Download Medical Forms. Below are a few commonly used medical forms. Please print off the ones requested by your physician's office and bring the completed forms to your next appointment unless otherwise directed. Authorization for Emergency Care to Minor (s) - This form is authorization by the parent/legal guardian for any medical facility to ...
What is Penrose Hospital?
Those three documents are: CPR directives, living wills and Medical Durable Power of Attorney (MDPOA). In Kansas, there are also three types of advance medical directives: the Durable Power of Attorney for Health Care, the living will, and the Do Not Resuscitate Directive. Each of those documents assist health care providers with information ...
Where can I pick up medical records in Elmbrook?
19525 W. North Avenue. Brookfield, WI. 53045. Phone: 262-780-3829. Fax: 262-780-3805. As a patient of Ascension Wheaton, you have the right, consistent with laws and regulations, to see and receive a copy of health information about yourself. Patients also have the right to request amendments to their medical records.
Viewing Your Medical Records
Accessing your records using My Chart is a quick and convenient way to view your medical records. Please see the Ascension Website on how to obtain a My Chart account. If you prefer to view records in person, you will need to make an appointment at the specific hospital or clinic. Please call the site-specific number listed below.
Acute-Care Hospitals
3801 Spring Street#N#Racine, WI 53405#N#Phone: 262-687-4388#N#Fax: 262-687-4108#N#Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Specialty Hospitals
10000 W. Bluemound Road#N#Wauwatosa, WI 53226#N#Phone: 414-447-2005 or 414-447-3789#N#Fax: 414-874-4480#N#Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Ascension Medical Group
3807 Spring Street (Lower Level)#N#Racine, WI 53405#N#Phone: 262-687-8147#N#Fax: 262-687-8060#N#Hours: Monday – Friday: 7:00 a.m. – 4:30 p.m.
Transitional and Extended Care Facilities
As a patient of Ascension Wheaton, you have the right, consistent with laws and regulations, to see and receive a copy of health information about yourself.
Authorization for Release of Patient Health Information
Complete and sign your request form and then submit it via mail or in person.
Fees for Copies
There is no fee for medical record requests sent directly to a physician or healthcare facility for continuing care purposes. There are fees associated with obtaining paper or electronic copies of your medical records. Allowable fees are governed by state and federal laws; call the hospital's HIM department for more information.
Frequently Asked Questions
Typical requests are processed within 48 hours (the law allows up to 30 days). Please allow reasonable time to process your request. We will contact you in the event of unforeseen delays or difficulty processing your request.
Indiana Resources
- In the State of Indiana, you may choose one or more of these advanced directives: 1. Organ and Tissue Donation 2. Healthcare Representative 3. Living Will Declaration or Life-Prolonging Procedures Declaration 4. Psychiatric Advance Directives 5. Out of Hospital Do Not Resuscitate Declaration and Order 6. Power of Attorney
Illinois Resources
- In the State of Illinois, you may choose one or more of these advance directives: 1. Living Will Declarationor Life-Prolonging Procedures Declaration 2. Declaration for Mental Health Treatment 3. Do Not Resuscitate Declaration and Order 4. Power of Attorney for Healthcare We ask that you complete and sign these documents while you’re still medically stable and competent to make i…
Are Advanced Directives Required?
- Advance directives are not required. Your physician or hospital cannot require you to make an advance directive if you do not want one. Also, you cannot be discriminated against if you do not sign one. However, you are strongly encouraged to complete advance directive documents so your wishes can be followed.
What Happens If I Don't Have An Advance Directive?
- In Indiana: If you do not have an advance directive and are unable to choose medical care or treatment, Indiana law decides who can do this for you. Indiana Code § 16-36 allows any member of your immediate family (meaning your spouse, parent, adult child, brother or sister) or a person appointed by a court to make the choice for you. If you cannot communicate and do not have a…
What Should I Do with My Completed Advance Directive?
- You will want to make sure your immediate family, physician, attorney and other health care providers have a copy. Your health care providers will make it part of your medical record. Don't forget to keep a copy for yourself. You may wish to keep a small card in your purse or wallet that states that you have an advance directive, where it is located, and who to contact for your attorn…
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