Records Request

The American Recovery and Reinvestment Act (ARRA), signed into law by President Obama on February 17, 2009, includes Title XIII, Health Information Technology for Economic and Clinical Health Act (HITECH), with the goal to provide Electronic Health Records (EHR’s) for every person in the U.S. by 2014, thus leading to improved care and lower costs.

As a healthcare provider, we take this goal very seriously and have implemented an electronic medical records solution for tracking your patient encounters with us.  As required by law, we have implemented technical, physical, and administrative safeguards to ensure the availability, integrity, and security of your electronic protected healthcare information (ePHI).  As required by law, the link provided below will provide you access to a copy of your medical record that we keep in electronic format.

This site is only for the use of our patients and their authorized representatives. Unauthorized use of this site is strictly prohibited by federal law and punishable by criminal and civil penalties.

If you have questions about using this website, or would rather request a copy of your medical records directly through UVES, please contact our HIPAA Compliance officer:

James Morris

607-754-3414 ext. 228

jmorris@unionems.com

By clicking the link below, you will be directed to a secured external website.

Patient request to access their PHI

This form must be completed by a patient or their authorized representative when requesting their protected health information for personal use.

This form must be saved locally to your computer, and then attached to the “My Patient Encounters” website form, which can be accessed by clicking the link below.

Patient request to access records form

Patient request to disclose PHI to a third party

This form must be completed and signed by a patient or their authorized representative when requesting UVES to provide protected health information directly to a third party (e.g.- Legal Counsel, Physician or other healthcare provider).

This form must be saved locally to your computer, and then attached to the “My Patient Encounters” website form, which can be accessed by clicking the link below.

OCA Official Form No: 960