The information contained in a patient’s medical record is confidential. It is a legal requirement that Boys Town National Research Hospital receive the patient’s authorization before releasing any information. The “Authorization for the Release of Protected Health Information” form can be downloaded by clicking on this link. The forms are also available at all clinic locations or through the Medical Records Department.
Contact Us
If you have questions or would like help from the Health Information Management Department at Boys Town National Research Hospital, call
(402) 498-6580 or
(402) 778-6963.
Download a Form
Authorization for the Release of Protected Health
To get medical records, print the form and mail/email/fax the form to:
Boys Town National Research Hospital
Health Information Management Department
555 North 30th St.
Omaha, NE 68131
Phone:
(402) 498-6580
Fax: 531-355-0006 (This is a local Omaha fax number.)
Email:
medical.records@boystownhospital.org
Or
Boys Town National Research Hospital
Health Information Management Department
14080 Hospital Road
Omaha, NE 68010
Phone:
(402) 778-6963
Fax: 531-355-0006 (This is a local Omaha fax number.)
Email:
medical.records@boystownhospital.org
Attention, Parents
If your child is 19 or older, it is REQUIRED by law that he or she sign the form “Authorization for the Release of Protected Health Information” allowing release of the medical record, including to release the record to you.
