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HIPAA Privacy Notice

Protecting our patients’ medical information is a priority at St. James Hospital. The notice below describes how medical information about you may be used and disclosed and how you can get access to this information:

Medical Record Request

Patients can request a copy of their health records by downloading and printing a copy of the Patient’s Request for Release to Protected Health Information form:

Mail or Fax the original, signed form to:

St. James Hospital
Attention: Health Information Management Services
432 Canisteo St.
Hornell, NY 14843
(585) 275-2605

Please note – Health information cannot be mailed to patients’ homes. Picture ID is required at time of pick up, and there may be a charge for this request. Releases for office medical records will be forwarded to the SJH offices manager for processing.

Universal Medication Form

It is important to have a listing of the medications that you are currently taking with you at all times in case of an emergency. Please download and print the above Universal Medication Form and document all of the medications that you are currently taking and update on a regular basis. Doctors also need to know herbals, vitamins and over-the-counter medications that you are taking. This will help you as a patient by your doctor knowing what concerns may be found and prevented by knowing what medications that you are currently taking.

Health Links

These online health resource websites are designed to help meet your health information needs and aim to provide general information about the topics they present. To search for health information, click on any of the following links:

Note: This information is general in nature and should not be relied upon as medical advice. The above organizations are not affiliated in any way with St. James Hospital.