Medical Records

To request MEDICAL RECORDS from current MetalQuest Trusteeships, please click on the appropriate organization link listed below to obtain the applicable Release of Information Authorization Form

 

Please follow all instructions when completing the Release of Information Authorization Form(s). Failure to provide complete information, sign the form, or provide the required identification may result in delay or denial of your records request.


Healthcare Organizations by State

California

San Diego Hospice, San Diego, CA

Indiana

Fayette Memorial Hospital Association, Inc., Connersville, IN
Kentuckiana Medical Center, LLC, Clarksville, IN

Kansas

Blue Valley Hospital, Overland Park, KS

Missouri

Pinnacle Healthcare System, Inc., Boonville, MO

Ohio

Deaconess Health Association, Cincinnati, OH

Oklahoma

Pauls Valley General Hospital, Pauls Valley, OK

New York

Caritas Healthcare, Elmhurst and Jamacia, NY
Center for Specialty Care, Inc., New York, NY
Federation Employment and Guidance Service - ENGLISH ("FEGS"), NY, NY - Client Records
Federation Employment and Guidance Service - RUSSIAN ("FEGS"), NY, NY - Client Records
Federation Employment and Guidance Service - SPANISH ("FEGS"), NY, NY - Client Records
Mary Immaculate Hospital, Jamacia, NY
Mt. Vernon Hospital, Mt. Vernon, NY
OXYGYM - Ultimate Health Outcomes, Inc., New Hyde Park, NY
Saint John’s Queens Hospital, Elmhurst, NY
Saint Vincent Catholic Medical Center, New York, NY (Electronic Records Only)
Sound Shore Medical Center, New Rochelle, NY
Ultimate Health Sleep Disorders Center - Ultimate Health Outcomes, Inc., New Hyde Park, NY



Texas

Bay Area Regional Medical Center, Webster, TX
Christus Santa Rosa Surgical Center, San Antonio, TX
Houston Town and Country Hospital, Houston, TX
Little River Healthcare, Cameron and Rockdale, TX

Virginia

Pulmonary Medicine of Virginia, Christiansburg, VA