Patient Administration Department
The Patient Administration Department provides unparalleled dedication and selfless service to our patients, clinical staff and employees. Our mission in the Patient Administration Department is to provide support and assistance to our staff and beneficiary population on all medical record-related matters.
In accordance with DHA 6025.18 and AR 40-66, medical records are the property of the U.S. Government. It is our responsibility to ensure that medical records are safeguarded from loss, tampering, and from unauthorized release of information.
Services Offered
- Inprocessing
- Outprocessing
- Requests for Medical Records
Inprocessing
A copy of your orders is required for inprocessing.
Outprocessing
A copy of your orders is required. Medical records can no longer be hand carried to your next duty station; they will be forwarded according to DODI 6040.43 and AR-40-66.
Requests for Medical Records
Requests for medical records from another Military Treatment Facility or civilian provider, please provide the provider's name, address, phone number, and fax number if possible.
E-mail forms to dha.ncr.kirk-ahc.mbx.medicalrecords@health.mil
Release of Medical Records Form
Requests for Copies of Medical Records
We have the ability to provide copies of your medical records request via compact disk (CD), DOD Safe, or encrypted email. Patients can also obtain copies of their medical records through the MHS GENESIS Portal.
A completed signed authorization for disclosure of medical records is required for processing medical records requests. Anyone over the age of 18 years old MUST sign the request; this includes spouses and dependents unless there is an authorization form on file giving permission for someone else to sign for the patient.
DA Form 5018 ASAP Client’s Consent Statement for Release of Treatment Information will be used for authorization to disclose alcohol or drug abuse patient information from medical records or for authorization to disclose information from records of an alcohol or drug abuse treatment program.
Labs
Patients may request a copy of their labs from the Patient Administration Department. If you need labs faxed to another provider, you will be required to sign a release of information form authorizing the release of information. Again, anyone over the age of 18 years old MUST sign the request; this included spouses and dependents unless there is an authorization form on file giving permission for someone else to sign for the patient.