Skip to main content
Vibra Healthcare
  • Home
  • About Vibra Healthcare
    • About Vibra Healthcare
    • Company History
    • Corporate Compliance
    • Management Team
    • Mission & Values
    • News
  • Our Services
    • Critical Care
    • Medical Rehabilitation
    • Skilled Nursing Facility
  • Patient Resources
    • Billing Information
    • Coronavirus Information
    • FAQs
    • Medical Records
    • Review Us
    • What To Bring
  • Blog
  • Locations
  • Careers
  • DEI
    • DEI Council
    • 2020 Diversity, Equity, and Inclusion Report
  • Partnerships
  • Contact Us
    • Apply For Clinical Privileges
  • Menu Menu

Patient

Resources

Getting you back to better.

Request Medical Records

At Vibra Healthcare, we are dedicated to your health and wellbeing. We’re also strong advocates for patient privacy. The information below explains the strict conditions under which your medical information may be distributed to other organizations, and how you can send your medical records to other doctors or hospitals, or receive a copy of the records for yourself.

How Do I Request My Medical Record?

Your medical record and the information it contains are confidential. That is why federal HIPAA laws require that patients authorize requests to release medical records. If you need to request your record, please contact the Vibra hospital location you were treated at and request to speak to the health information management department. A team member will guide you through the authorization process.

If you were treated at any of the following locations, please instead click on the link to your respective hospital’s authorization form, complete the form, and then follow the instructions below.

English Authorization Forms
Highlands Rehabilitation Hospital
Vibra Hospital of Fort Wayne
Vibra Hospital of Springfield
Vibra Rehabilitation Hospital of Lake Travis
Vibra Hospital of Western Massachusetts

Spanish Authorization Forms
Highlands Rehabilitation Hospital
Vibra Hospital of Fort Wayne
Vibra Hospital of Springfield
Vibra Rehabilitation Hospital of Lake Travis
Vibra Hospital of Western Massachusetts

If you were treated at Vibra Hospital of San Diego, please contact the custodian of records at Select Specialty Hospital of San Diego.

We are required to confirm your identity before releasing your medical records. Only you or your legal guardian can sign this form, which must be returned with a copy of your government-issued photo identification. A patient’s personal representative must submit their photo ID and the Durable Power of Attorney for healthcare, Advanced Directive, or Living Will. If the patient is deceased, the personal representative must provide proof of being the executor or administrator of the estate and provide the patient’s death certificate. If you are injured, or too ill to complete this form, your physician or healthcare provider can complete the request form for you. We ask that you specify what components of your medical records you wish to obtain. Often, the discharge summary, operative report, and history and physical contain relevant information to suit your needs.

Please return the authorization form and a copy of your personal identification to the following email address or fax number: releaseofinformation@vibrahealth.com | Or fax to: 732.384.9304.

We will process your request as quickly as possible. You may receive an invoice to cover the cost of locating your records and making copies. Your medical record request should be completed within 30 days of receipt or less depending upon the state regulations and within 5-7 business days following any invoice.

If you are unable to print the authorization form from this website, please send an email to releaseofinformation@vibrahealth.com.

How to Revoke This Authorization

I understand that I may revoke this Authorization, in writing, by sending my request to revoke my authorization to releaseofinformation@vibrahealth.com or by faxing it to 732.384.9304.

Cómo revocar esta autorización

Entiendo que yo podría revocar esta autorización enviando una solicitud, por escrito, para la revocación de mi autorización a releaseofinformation@vibrahealth.com o por fax al 732.384.9304.

Legal Requests

Legal requests (subpoenas and signed authorizations) can be faxed to the following fax number: 732.384.9304

Questions?

If you have any questions about the release of information process, you may call the Vibra Healthcare corporate office at 717.591.5700 – Monday to Friday from 9:00 am – 3:30 pm EST. In the event that you call outside of these hours, you can leave a message and a team member will call you back. We are closed all major holidays.

  • Billing Information
  • Coronavirus Information
  • FAQs
  • Medical Records
  • Review Us
  • What To Bring

Follow Us

”facebook” ”youtube” ”linkedin” ”instagram”

Headquarters

Address
4600 Lena Drive, Mechanicsburg, PA 17055

Phone Number
717.591.5700

Email
General Inquiries

Quick Links

About Vibra Healthcare
Critical Care
Medical Rehabilitation
Patient Resources
Careers
Diversity, Equity, & Inclusion
Partnerships
Contact Us

Site Map

Additional Info

Our Locations
View our locations

Policies
Compliance & Privacy
Privacy Policy

Compliance Hotline
1.888.238.7185

Level Access website accessibility icon
© Copyright | Vibra Healthcare, LLC. - Enfold WordPress Theme by Kriesi
  • Facebook
  • Youtube
  • LinkedIn
  • Instagram
Scroll to top
Cleantalk Pixel