HIPAA PRIVACY PRACTICES NOTICE

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Download the HIPAA Privacy Policy document by clicking below:
CRMCPrivacyPracticesNotice.pdf

Please review it carefully. The privacy of your medical information is important to us.

If you have any questions about this notice please contact our Privacy Officer at: (717) 960-3377.

AUTHORIZATION FOR RELEASE, USE, AND DISCLOSURE OF HEALTH INFORMATION

This form is used to grant Carlisle Regional Medical Center permission to release copies of your health information. The completed form can be mailed to the Health Information Management Department at:

Carlisle Regional Medical Center
361 Alexander Spring Road
Carlisle, PA 17015 

Download the Authorization for Release, Use, and Disclosure of Health Information document by clicking below:  
CRMCAuthorizationForReleaseHealthInformation.pdf