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.
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.
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 HospitalHealth Information Management Department555 North 30th St.Omaha, NE 68131Phone 402-498-6580Fax 402-498-6630Email:
Boys Town National Research HospitalHealth Information Management Department14080 Hospital RoadOmaha, NE 68010Phone 402-778-6963Fax 402-498-6712Email:
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.