Your Records and Results
Exam Image Availability
Atlantic General Hospital’s state-of-the art technology offers immediate
access to the images from your exam. No longer does your physician have
to wait to have copies of your films made. Although we can still provide
a copy of your examination for you with 48 hours notice, your physician
can now review your exam images immediately via the Internet. We offer
safe and secure web access for your physician through the hospital’s
network. Your privacy is assured.
The Eunice Q. Sorin Women’s Diagnostic Center is happy to provide
you with images from your exams for follow-up care, insurance purposes
or your own use.
Images on CD
Since imaging has moved into the digital age, it is no longer standard
of practice to print films. All digital images are stored on computers.
We'll put your digital images, including a viewer, on a compact disk
(CD). You or your physician can view your images on any computer that
has a CD-ROM drive. All image disks contain your results, if available,
unless you request that they not be included.
Release Authorization Form
Health Insurance Portability and Accountability Act (HIPAA) regulations
require that you complete a release authorization form before we can provide
your images and information to other health care providers.
print the form from our web site. On the release form please indicate clearly the name
and date of birth of the patient, and where the exams need to be sent.
Please mail, bring or fax your
signed, competed release authorization form to us. Please also provide a contact
number, so we may contact you in case there are any questions.
Atlantic General Hospital
Eunice Q. Sorin Women’s Diagnostic Center
9733 Healthway Drive
Berlin, MD 21811
Phone: (410) 641-9215
Fax: (410) 641-9036
We'll Contact You
After we receive your request or authorization form, we will contact you
by phone to confirm your request. Please allow at least 48 hours for us
to have your CD or films ready. If you need further assistance please
call us at (410) 641-9215.
A photo ID will be required when picking up any exams. We will be happy
to release records to a patient's family member as long as the patient
sends a signed document, giving a family member consent to do so.
Currently, the first set of films is provided at no cost to the patient.
There is no charge for CD-ROMs and, of course, Internet access for your
physician is always free.
If you are a patient and would like to obtain your exams from the Eunice
Q. Sorin Women’s Diagnostic Center, please print and complete the
Imaging Records Release Form.
If you are a patient and need to request your films from a prior facility
to be sent to Atlantic General, please use the
Medical Records Request Form.