Medical Records | Good Samaritan Hospital

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Changes in charges, rates, network participation or other data elements that become effective following the date of the Last Full Update may not be shown, regardless of the Last Revision date.<\/li>\n <li>Rates are based upon the specific facts and circumstances of the care provided to an individual patient. For example, the items and services furnished to the patient (i.e., drugs and implants) vary by patient circumstance and the product used.<\/li>\n <li>Comparisons of rates within the file between payers or comparison of files between hospitals <strong><u>will not<\/u><\/strong> reflect distinctions in prices due to variations in pricing methodology. 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href='/patients/for-visitors.dot' class='cdp-globalNav'>For visitors</a></li> <li><a target='_self' href='/patients/accepted-insurance-plans.dot' class='cdp-globalNav'>Accepted Insurance Plans</a></li> <li><a target='_self' href='/patients/preparing-for-your-stay.dot' class='cdp-globalNav'>Preparing for Your Stay</a></li> <li><a target='_self' href='/patients/informer.dot' class='cdp-globalNav'>Surgery Text Messaging</a></li> <li><a target='_self' href='/patients/nearby-lodging.dot' class='cdp-globalNav'>Nearby Lodging</a></li> <li><a target='_self' href='/patients/patient-information' class='cdp-globalNav'>Patient Information</a></li> <li><a target='_self' href='/patients/medical-records-birth-registry.dot' class='cdp-globalNav'>Medical Records</a></li> <li><a target='_self' href='http://goodsamsanjose.com/myhealthone/index.dot' class='cdp-globalNav'>MyHealthONE庐</a></li> <li><a target='_self' href='/patients/registration-information.dot' class='cdp-globalNav'>Registration Information</a></li> <li><a target='_blank' href='http://goodsamsanjose.com/patient-financial/index.dot' class='cdp-globalNav'>Patient Financial Resource</a></li> <li><a target='_self' href='https://patientpaymentestimator.com/?facility=4AFC6B85-32E1-4EBD-8531-02FBC3C8B477' class='cdp-globalNav'>Patient Payment Estimator</a></li> <li><a target='_self' href='http://goodsamsanjose.com/patients/patient-information/patient-rights-responsibilities.dot' class='cdp-globalNav'>Patient Rights & Responsibilities</a></li> <li><a target='_self' href='/patients/preparing-for-discharge.dot' class='cdp-globalNav'>Preparing for discharge</a></li> <li><a target='_self' href='http://goodsamsanjose.com/patients/covid-19' class='cdp-globalNav'>Public Health Notice</a></li> <li><a target='_self' href='/patients/care-during-a-public-health-emergency.dot' class='cdp-globalNav'>Care During A Public Health Emergency</a></li> </ul> </div> </div> </li> <li class="dropdown"> <a href="/specialties"class=cdp-globalNav>Specialties</a> </li> <li class="dropdown"> <a href="/careers"class=cdp-globalNav>Careers</a> </li> <li class="dropdown"> <a href="/community" class="dropdown-toggle cdp-globalNav" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false">Community Resources <span class="icon-angle-down cdp-globalNav" aria-hidden="true"></span></a> <div class="dropdown-menu"> <div class="container"> <p><a href="/community" class="cdp-globalNav">Community Resources</a></p> <ul class="dropdown-menu-list"> <li><a target='_self' href='/community/the-auxiliary.dot' class='cdp-globalNav'>The Auxiliary</a></li> <li><a target='_self' href='/community/become-a-volunteer.dot' class='cdp-globalNav'>Become a Volunteer</a></li> <li><a target='_self' href='http://goodsamsanjose.com/calendar/index.dot' class='cdp-globalNav'>Classes & Events</a></li> <li><a target='_self' href='/community/consult-a-nurse.dot' class='cdp-globalNav'>Consult-A-Nurse®</a></li> <li><a target='_self' href='http://goodsamsanjose.com/about/newsroom/index.dot' class='cdp-globalNav'>Newsroom</a></li> <li><a target='_self' href='/community/social-media-disclaimer.dot' class='cdp-globalNav'>Social Media Disclaimer</a></li> <li><a target='_self' href='http://goodsamsanjose.com/community/awards-recognitions.dot' class='cdp-globalNav'>Awards and Recognitions</a></li> </ul> </div> </div> </li> <li class="dropdown"> <a href="/about" class="dropdown-toggle cdp-globalNav" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false">About Us <span class="icon-angle-down cdp-globalNav" aria-hidden="true"></span></a> <div class="dropdown-menu"> <div class="container"> <p><a href="/about" class="cdp-globalNav">About Us</a></p> <ul class="dropdown-menu-list"> <li><a target='_self' href='/about/contact.dot' class='cdp-globalNav'>Contact us</a></li> <li><a target='_self' href='/about/awards-accreditations.dot' class='cdp-globalNav'>Awards and accreditations</a></li> <li><a target='_self' href='/about/expansion-project.dot' class='cdp-globalNav'>Expansion project</a></li> <li><a target='_self' href='/about/legal-information' class='cdp-globalNav'>Legal information</a></li> <li><a target='_self' href='/about/newsroom' class='cdp-globalNav'>Newsroom</a></li> <li><a target='_self' href='http://goodsamsanjose.com/locations/index.dot' class='cdp-globalNav'>Maps and directions</a></li> <li><a target='_self' href='/about/mission-vision.dot' class='cdp-globalNav'>Mission and vision</a></li> <li><a target='_self' href='/about/our-history.dot' class='cdp-globalNav'>Our history</a></li> <li><a target='_self' href='/about/our-leadership-team.dot' class='cdp-globalNav'>Our leadership team</a></li> <li><a target='_self' href='/about/phone-directory' class='cdp-globalNav'>Phone directory</a></li> <li><a target='_self' href='http://goodsamsanjose.com/testimonials/index.dot' class='cdp-globalNav'>Patient stories</a></li> <li><a target='_self' href='/about/virtual-tour.dot' class='cdp-globalNav'>Virtual tour</a></li> </ul> </div> </div> </li> <li class="dropdown phone-menu"> <a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false">Phone Directory <span class="icon-angle-down" aria-hidden="true"></span></a> <div class="dropdown-menu"> <div class="container"> <ul class="dropdown-menu-list phone-number-list"> <li> <span>Admitting</span> <span class="cdp-globalNav"><a href="tel:4085592323" class="cdp-globalNav">(408) 559-2323</a></span> </li> <li> <span>Auxiliary Services</span> <span class="cdp-globalNav"><a href="tel:4085592345" class="cdp-globalNav">(408) 559-2345</a></span> </li> <li> <span>Bariatric Services</span> <span class="cdp-globalNav"><a href="tel:4085592514" class="cdp-globalNav">(408) 559-2514</a></span> </li> <li> <a href="/about/phone-directory/" data-analytics='{"feature": "nava", "name": "ctaClick"}' class="cdp-globalNav">View Full Directory</a> </li> </ul> </div> </div> </li> </ul> <ul class="nav navbar-nav prenav"> <li> <a href="/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot" data-analytics='{"feature": "nava", "name": "utilityNavClick"}' class="cdp-utilNav">Price Transparency</a> </li> <li> <a href="/patient-financial/help-pay-my-bill" data-analytics='{"feature": "nava", "name": "utilityNavClick"}' class="cdp-utilNav">Help Paying Your Bill</a> </li> </ul> <ul class="nav navbar-nav prenav"> <li> <a href="/patients/for-visitors.dot" data-analytics='{"feature": "nava", "name": "utilityNavClick"}' class="cdp-utilNav">Visiting Hours</a> </li> <li> <a href="/myhealthone/" data-analytics='{"feature": "nava", "name": "utilityNavClick"}' class="cdp-utilNav"><i class="icon-mho" aria-hidden="true"></i> MyHealthONE<sup>庐</sup> Patient Portal</a> </li> <li><a href="/my-health-resources?type=hospitals" data-analytics='{"feature": "nava", "name": "utilityNavClick"}' class="cdp-utilNav"><i class="icon-th cdp-utilNav" aria-hidden="true"></i> My Health Resources</a></li> <li> <a href="//goodsamhealthsystem.com" data-analytics='{"feature": "nava", "name": "utilityNavClick"}' class="cdp-utilNav"> Good Sam Health System <span class="icon-external-link cdp-utilNav" aria-hidden="true"></span> </a> </li> </ul> </div> </nav> </div> <div class="pfr-pre-navbar bg-secondary hidden-xs"> <div class="container-fluid"> <ul class="list-unstyled"> <li> <a href="/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot" class="cdp-utilNav" data-analytics='{"feature": "nava", "name": "utilityNavClick"}'>Price Transparency</a> </li> <li> <a href="/patient-financial/help-pay-my-bill" class="cdp-utilNav" data-analytics='{"feature": "nava", "name": "utilityNavClick"}'>Help Paying Your Bill</a> </li> </ul> </div> </div> <div class="pre-navbar "> <div class="container-fluid"> <ul class="list-unstyled text-right hidden-xs prenav-link-list"> <li><a href="#" data-toggle="modal" data-target="#phone-directory-modal" class="cdp-utilNav" data-analytics='{"feature": "nava", "name": "utilityNavClick"}'><i class="icon-phone cdp-utilNav" aria-hidden="true"></i><span>Phone Directory</span></a></li> <li> <a href="/patients/for-visitors.dot" class="cdp-utilNav" data-analytics='{"feature": "nava", "name": "utilityNavClick"}'>Visiting Hours</a> </li> <li> <a href="/myhealthone/" class="cdp-utilNav" data-analytics='{"feature": "nava", "name": "utilityNavClick"}'><i class="icon-mho" aria-hidden="true"></i> MyHealthONE<sup>庐</sup> Patient Portal</a> </li> <li><a href="/my-health-resources?type=hospitals" data-analytics='{"feature": "nava", "name": "utilityNavClick"}' class="cdp-utilNav"><i class="icon-th cdp-utilNav" aria-hidden="true"></i><span> My Health Resources</span></a></li> </ul> <form class="form-inline hut-search" action="/search/results.dot" method="GET" enctype="multipart/form-data" role="search" data-submit="false"> <div class="form-group"> <label class="sr-only" for="prenav-main-search">Search</label> <div class="input-group"> <input type="text" class="header-search-input form-control" name="q" id="prenav-main-search" placeholder="Search" maxlength="64" autocomplete="off" pattern="^[a-zA-Z0-9-`.'()? ]*$" title="Can only contain letters, numbers and limited special characters." required> <a href="#" class="close-search hidden" aria-label="Close recent searches">×</a> <div class="input-group-btn"> <button type="submit" class="btn btn-default submit"> <i class="icon-search" aria-hidden="true"></i> <span class="sr-only">Submit Search</span> </button> </div> <div class="header-search-results hidden"> <span class="recent-search-title"><strong>Recent Searches</strong></span> <ul class="recent-searches"></ul> </div> </div> </div> </form> </div> </div>  <div class="modal fade" id="phone-directory-modal" tabindex="-1" role="dialog" aria-labelledby="phoneDir"> <div class="modal-dialog" role="document"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h4 class="modal-title" id="phoneDir">Phone Directory</h4> </div> <div class="modal-body"> <p><em>Select a department to call.</em></p> <ul class="list-unstyled phone-number-list"> <li> <span>Admitting</span> <span class="pull-right"><a href="tel:4085592323" data-analytics='{"feature": "nava", "name": "clickToCall"}'><span class="sr-only">Call Admitting at</span> (408) 559-2323</a></span> </li> <li> <span>Auxiliary Services</span> <span class="pull-right"><a href="tel:4085592345" data-analytics='{"feature": "nava", "name": "clickToCall"}'><span class="sr-only">Call Auxiliary Services at</span> (408) 559-2345</a></span> </li> <li> <span>Bariatric Services</span> <span class="pull-right"><a href="tel:4085592514" data-analytics='{"feature": "nava", "name": "clickToCall"}'><span class="sr-only">Call Bariatric Services at</span> (408) 559-2514</a></span> </li> </ul> </div> <div class="modal-footer"> <a href="/about/phone-directory/" class="btn btn-primary" data-analytics='{"feature": "nava", "name": "ctaClick"}'>View Full Directory</a> </div> </div> </div> </div> <div class="sticky-header-mobile"> <header role="banner"> <div class="container-fluid"> <div class="mobile-header"> <div class="mobile-menu-toggle-wrap"> <button type="button" class="mobile-menu-toggle navbar-toggle collapsed"> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-text">Menu</span> </button> </div> <figure class="logo"> <a href="/home/" class="cdp-globalNav"> <img src="/contentAsset/raw-data/e661c928-c92d-4a0d-aa6a-5d23023e4898/fullColorLogo" alt="Good Samaritan Hospital"> </a> </figure> <div class="mobile-search"> <a href="#" class="mobile-search-btn" aria-label="Search" data-analytics='{"feature": "ssa", "name": "searchHeaderOpen"}'><i class="icon-search" aria-hidden="true"></i></a> <form class="mobile-search-slide" action="/search/results.dot" method="GET" enctype="multipart/form-data" role="search"> <label class="sr-only" for="mobile-sticky-search">Search</label> <input type="text" class="header-search-input form-control" name="q" id="mobile-sticky-search" placeholder="Search" maxlength="64" data-validate="alpha-numeric" autocomplete="off" required> <i class="icon-search pre-fix-icon"></i> <a href="#" class="close-search" aria-label="Close search">×</a> </form> </div> <div class="header-search-results hidden"> <span class="recent-search-title"><strong>Recent Searches</strong></span> <a href="#" class="clear-recent-searches" aria-label="Clear recent search history" data-analytics='{"feature": "ssa", "name": "recentSearchesClear"}'>Clear</a> <ul class="recent-searches"></ul> <a href="#" class="btn btn-primary btn-block mobile-submit">Search</a> </div> </div> </div> </header> </div> <header role="banner"> <div class="container-fluid"> <div class="mobile-header"> <div class="mobile-menu-toggle-wrap"> <button type="button" class="mobile-menu-toggle navbar-toggle collapsed"> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-text">Menu</span> </button> </div> <figure class="logo"> <a href="/home/" class="cdp-globalNav"> <img src="/contentAsset/raw-data/e661c928-c92d-4a0d-aa6a-5d23023e4898/fullColorLogo" alt="Good Samaritan Hospital"> </a> </figure> <div class="mobile-search"> <a href="#" class="mobile-search-btn" aria-label="Search" data-analytics='{"feature": "ssa", "name": "searchHeaderOpen"}'><i class="icon-search" aria-hidden="true"></i></a> <form class="mobile-search-slide" action="/search/results.dot" method="GET" enctype="multipart/form-data" role="search"> <label class="sr-only" for="mobile-main-search">Search</label> <input type="text" class="header-search-input form-control" name="q" id="mobile-main-search" placeholder="Search" maxlength="64" data-validate="alpha-numeric" autocomplete="off" required> <i class="icon-search pre-fix-icon"></i> <a href="#" class="close-search" aria-label="Close search">×</a> </form> </div> <div class="header-search-results hidden"> <span class="recent-search-title"><strong>Recent Searches</strong></span> <a href="#" class="clear-recent-searches" aria-label="Clear recent search history" data-analytics='{"feature": "ssa", "name": "recentSearchesClear"}'>Clear</a> <ul class="recent-searches"></ul> <a href="#" class="btn btn-primary btn-block mobile-submit">Search</a> </div> </div> <div class="row desktop-header"> <div class="col-xs-6 col-sm-3"> <figure class="logo height95"> <a href="/home/" class="cdp-globalNav"> <img src="/contentAsset/raw-data/e661c928-c92d-4a0d-aa6a-5d23023e4898/fullColorLogo" alt="Good Samaritan Hospital"> </a> </figure> </div> <div class="col-xs-3 col-sm-9 text-right vertical-align"> <form class="form-inline hut-search" action="/search/results.dot" method="GET" enctype="multipart/form-data" role="search" data-submit="false"> <div class="form-group"> <label class="sr-only" for="main-search">Search</label> <div class="input-group"> <input type="text" class="header-search-input form-control" name="q" id="main-search" placeholder="Search" maxlength="64" autocomplete="off" pattern="^[a-zA-Z0-9-`.'()? ]*$" title="Can only contain letters, numbers and limited special characters." required> <a href="#" class="close-search hidden" aria-label="Close recent searches">×</a> <div class="input-group-btn"> <button type="submit" class="btn btn-primary submit"> <i class="icon-search" aria-hidden="true"></i> <span class="sr-only">Submit Search</span> </button> </div> <div class="header-search-results hidden"> <span class="recent-search-title"><strong>Recent Searches</strong></span> <ul class="recent-searches"></ul> </div> </div> </div> </form> </div> </div> </div> </header> <nav id="main-nav" class="main-nav" role="navigation" aria-label="main nav bar" data-celebrus="cdp-globalNav"> <div class="mobile-cta-links"> <div class="cta-item-count-one cta-item"> <a class='cdp-globalNav-Cta'href='/locations/' data-analytics='{"feature": "nava", "name": "ctaClick"}'><i class='icon-location cdp-globalNav-Cta' aria-hidden='true'></i><span>Directions</span></a> </div> </div> <div class="container-fluid"> <ul class="nav navbar-nav"> <li class="dropdown"> <a href="/home"class=cdp-globalNav>Home</a> </li> <li class="dropdown"> <a href="/physicians" class="dropdown-toggle cdp-globalNav" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false">Find a Doctor <span class="icon-angle-down cdp-globalNav" aria-hidden="true"></span></a> <div class="dropdown-menu"> <div class="container"> <p><a href="/physicians" class="cdp-globalNav">Find a Doctor</a></p> <ul class="dropdown-menu-list"> <li><a target='_self' href='/physicians/credentialing.dot' class='cdp-globalNav'>Credentialing</a></li> <li><a target='_self' href='/physicians/hospital-affiliation-letters.dot' class='cdp-globalNav'>Hospital Affiliation Letters</a></li> <li><a target='_self' href='/physicians/clinical-research.dot' class='cdp-globalNav'>Clinical Research</a></li> </ul> </div> </div> </li> <li class="dropdown"> <a href="/patients" class="dropdown-toggle cdp-globalNav" data-toggle="dropdown" role="button" aria-haspopup="true" aria-expanded="false">Patients & Visitors <span class="icon-angle-down cdp-globalNav" aria-hidden="true"></span></a> <div class="dropdown-menu"> <div class="container"> <p><a href="/patients" class="cdp-globalNav">Patients & Visitors</a></p> <ul class="dropdown-menu-list"> <li><a target='_self' href='/patients/pluscarenetwork' class='cdp-globalNav'>Plus Care Network</a></li> <li><a target='_self' href='/patients/guest-amenities.dot' class='cdp-globalNav'>Guest Amenities</a></li> <li><a target='_self' href='/patients/covid-19' class='cdp-globalNav'>COVID-19</a></li> <li><a target='_self' href='/patients/for-visitors.dot' class='cdp-globalNav'>For visitors</a></li> <li><a target='_self' href='/patients/accepted-insurance-plans.dot' class='cdp-globalNav'>Accepted Insurance Plans</a></li> <li><a target='_self' href='/patients/preparing-for-your-stay.dot' class='cdp-globalNav'>Preparing for Your Stay</a></li> <li><a target='_self' href='/patients/informer.dot' class='cdp-globalNav'>Surgery Text Messaging</a></li> <li><a target='_self' href='/patients/nearby-lodging.dot' class='cdp-globalNav'>Nearby Lodging</a></li> <li><a target='_self' href='/patients/patient-information' class='cdp-globalNav'>Patient Information</a></li> <li><a target='_self' href='/patients/medical-records-birth-registry.dot' class='cdp-globalNav'>Medical Records</a></li> <li><a target='_self' href='http://goodsamsanjose.com/myhealthone/index.dot' class='cdp-globalNav'>MyHealthONE庐</a></li> <li><a target='_self' href='/patients/registration-information.dot' class='cdp-globalNav'>Registration Information</a></li> <li><a target='_blank' href='http://goodsamsanjose.com/patient-financial/index.dot' class='cdp-globalNav'>Patient Financial Resource</a></li> <li><a target='_self' href='https://patientpaymentestimator.com/?facility=4AFC6B85-32E1-4EBD-8531-02FBC3C8B477' class='cdp-globalNav'>Patient Payment Estimator</a></li> <li><a target='_self' href='http://goodsamsanjose.com/patients/patient-information/patient-rights-responsibilities.dot' class='cdp-globalNav'>Patient Rights & Responsibilities</a></li> <li><a target='_self' href='/patients/preparing-for-discharge.dot' class='cdp-globalNav'>Preparing for discharge</a></li> <li><a target='_self' href='http://goodsamsanjose.com/patients/covid-19' class='cdp-globalNav'>Public Health Notice</a></li> <li><a target='_self' href='/patients/care-during-a-public-health-emergency.dot' class='cdp-globalNav'>Care During A Public Health Emergency</a></li> </ul> </div> </div> </li> <li class="dropdown"> <a href="/specialties"class=cdp-globalNav>Specialties</a> </li> <li 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href="http://goodsamsanjose.com/patients/covid-19" class="cdp-sideNav">Public Health Notice</a> <hr aria-hidden="true"> </li> <li> <a href="/patients/care-during-a-public-health-emergency.dot" class="cdp-sideNav">Care During A Public Health Emergency</a> <hr aria-hidden="true"> </li> </ul> </div> </div> </aside> <section id="content-main"> <main role="main"> <div class="article-pre"> </div> <article id="content-main-body"> <h2>Requesting your medical records</h2> <p>We offer several ways to request your medical records depending on the type of information you need and format.</p>   <h3>MyHealthONE Patient Portal</h3> <p><a href="https://www.myhealthone.net/mh1/public/mh1">MyHealthOne</a> consolidates many common tasks into one secure, easy-to-use online patient portal. It gives you access to most of your medical records on your desktop computer, laptop, tablet or smartphone 24 hours a day. Some medical records may only be available through our hospital Medical Records office.</p> <div class="row"> <div class="col-xs-12 col-sm-5"> <p><a href="https://www.myhealthone.net/mh1/public/mh1" class="btn btn-primary btn-block"><i class="icon-mho" aria-hidden="true"></i> Access Patient Portal</a></p> </div> </div> <h4>Download the MyHealthONE app</h4> <p>You can download the MyHealthOne app in the <a href="https://apps.apple.com/app/id1493014954" target="_blank" rel="noopener noreferrer">App Store<sup>庐</sup></a> and on <a href="https://play.google.com/store/apps/details?id=com.hcahealthcare.mhom" target="_blank" rel="noopener noreferrer">Google Play</a> to access your health information.</p> <div class="row"> <div class="col-xs-12 col-sm-3"> <p><a href="https://apps.apple.com/app/id1493014954" target="_blank" rel="noopener noreferrer"><img alt="Download on the App Store" src="https://hcah-p-001-delivery.stylelabs.cloud/api/public/content/50fc349dcf184ff2811578844d52d25e?v=9bb7ce90" style="width: 123px; height: 41px;" /></a></p> </div> <div class="col-xs-12 col-sm-3"> <p><a href="https://play.google.com/store/apps/details?id=com.hcahealthcare.mhom" target="_blank" rel="noopener noreferrer"><img alt="Get it on Google Play" src="https://hcah-p-001-delivery.stylelabs.cloud/api/public/content/e876d8c3830d4193b1ffc3c04e65f5dc?v=4b218750" style="width: 123px; height: 41px; top: 23px;" /></a></p> </div> </div> <hr> <h3>Patient Requests</h3> <p>To request a copy of your medical records through the online portal, click on the link below and follow the prompts for online medical record request submission. </p> <div class="row"> <div class="col-xs-12 col-sm-6"> <p><button id="hca-healthcare-wizard-label" data-toggle="modal" data-target="#hca-healthcare-wizard-modal" class="btn btn-primary btn-block">Online Medical Record Request Portal </button></p> </div> </div> <style> .modal-title {color: #333 !important;} .btn-link { min-width: 90px; min-height: 40px; padding: 8px 12px; white-space: normal; } .modal-dialog-centered { position: relative; top: 30%; transform: translateY(-50%); } .modal-header { min-height: 16.43px; padding: 15px 20px 0px; border-bottom:none; } .modal-body { padding: 0px 20px 15px; } .modal-footer { padding: 0px 20px 15px; border-top: none; } </style> <div id="hca-healthcare-wizard-modal" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="hca-healthcare-wizard-label" aria-hidden="true"> <div class="modal-dialog modal-dialog-centered" role="document"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-hidden="true">脳 </button> <h2 class="h3 modal-title" id="myModalLabel">You are leaving the Good Samaritan Hospital website </h2> </div> <div class="modal-body"> <p>You have selected to submit a request for Medical Records. If you continue, you will be taken to an online health information request portal on a new screen. If you have questions about the Medical Records request process, please contact <a href="tel:+18444810278">(844) 481-0278</a>.</p> </div> <div class="modal-footer"> <a class="btn btn-default btn-link" data-dismiss="modal">Cancel</a> <a href="https://www.swellbox.com/hca-healthcare-wizard.html" class="btn btn-primary">Continue </a> </div> </div> </div> </div> <ol> <li> <p> Download, print and complete the authorization form. The authorization form must be signed and dated.</p> <ul> <li> <p><a href="https://hcah-p-001-delivery.stylelabs.cloud/api/public/content/367bb66bc185414895c9ebf9ec770caf?v=f4ceea5f">Authorization for Release of Medical Information (PDF)</a></p> </li> <li> <p><a href="https://hcah-p-001-delivery.stylelabs.cloud/api/public/content/caea1d75b8534c82bcb8f6129667a1e0?v=2f066ad6">Autorizaci贸n para la divulgaci贸n de informaci贸n m茅dica (PDF)</a></p> </li> </ul> </li> <li> <p>In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. (e.g., driver鈥檚 license, military I.D. or state I.D.).</p> </li> <li> <p>You may send your request in the following ways:</p> <ul class="list list-unstyled col-sm-12"> <li> <p><strong>Fax</strong>: (844) 481-0298</p> </li> <li> <p><strong>Email</strong>: <a href="mailto:Para.HCARecordsRequestNash@hcahealthcare.com">Email Requests</a> </p> </li> <li> <p><strong>Mail</strong>:</p> <p>PO Box 290789 <br> Nashville , TN 37229-0789</p> </li> </ul> </li> <li> <p>To obtain Radiology Images, please contact the Radiology Department directly.</p> </li> <li> <p>To obtain a certified copy of your Birth Certificate please contact your state or local Vital Statistics Office.</p> </li> </ol> <div class="row "> <div class="col-sm-12 card-aside"> <ul> <li>Records delivered by <strong>mail</strong> will be shipped within 5-7 Business days after processing.</li> <li>Records delivered by <strong>email</strong> will be received within 1-2 Business days after processing</li> </ul> </div> </div> <blockquote><p>For questions regarding medical records, or to obtain the status of your request call us at <a href="tel:+18444810278">(844) 481-0278</a>.</p></blockquote> <hr> <h2>Urgent Requests, Records for your Physician</h2> <p>For immediate continuity of care, your healthcare provider can request records.</p> <p>The physician office must fax a written request on their letterhead to (786) 206-0764 indicating the patient's name, date of birth, date of visit and the name of the facility where you were treated. Please indicate "STAT" for all urgent requests. For assistance, call <a href="tel:+18662702311">(866) 270-2311</a>.</p> <hr> <h2>Non-patient Requests (Insurance, Attorney, Disability and Third Party Requests)</h2> <p>Requests should be sent from your insurance company, attorney, or Disability Determination Service and be mailed to the address below. For assistance, call <a href="tel:+18662702311">(866) 270-2311</a>.</p> <p>Mail request to:</p> <p><strong>Nashville Far West SSC</strong> <br> PO Box 290969 <br> Nashville, TN 37229-0969</p> </article> <div class="article-post"> </div> </main> </section> <aside id="aside-b" role="complementary"> </aside> </div> </div> <div id="post-content-wrap"> <div id="post-content"> </div> </div> </div> <div id="footer-wrap"> <footer role="contentinfo"> <section class="site-info style-4"> <div class="container"> <div class="row footer-divider hidden-xs"> <div class="col-sm-3 footer-info"> <img src='/contentAsset/raw-data/e661c928-c92d-4a0d-aa6a-5d23023e4898/fullColorLogo' alt='Good Samaritan Hospital'> <p> Good Samaritan Hospital<br/> 2425 Samaritan Dr<br/>San Jose, CA 95124 </p> <p> Telephone: <a href="tel:4085592011" data-analytics='{"feature": "nava", "name": "clickToCall"}'>(408) 559-2011</a><br/> </p> </div> <div class="col-sm-6 col-sm-offset-1"> <div class="footer-heading size-14"> <h4>Quick 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"include_hours" : "false", "pub_date_format" : "MMM D YYYY", "pub_time_format" : "h:mma", "pub_date_format_header" : "M/DD", "pub_time_format_header" : "h:mma" }; /* er_wait_times_v1.js Javascript that pulls ER Wait Time Data Title: ER Wait Times Version: 2.1 (FW2) Author: Jeremiah Weeden-Wright/Brian Traughber Based on: FW2 ER Wait Time widget Date Updated: 03/31/15 */ // Global Vars var er_widget_data = []; // Date from the widget, saved from the HTML var er_feed_results = []; // Actual results returned from querying the feeds var er_feeds = []; // List of actual URLs to query and status var total_er_feeds = 0; var er_feeds_processed = 0; var er_use_cufon = false; var er_max_feed_attempts = 5; var er_feed_attempt_interval = 2000; var feed_pub_datetime = ""; var feed_pub_date = ""; var feed_pub_time = ""; var er_wait_time_loaded = false; // Initialize google feeds for AJAX query of ER Feeds // google.load("feeds", "1"); // On Page Load, get the feed $(window).load(function () { // vars var er_feed_names = []; // Unique list of feed names from the widget data // Save all the required feeds to a list removing duplicates if(widget_data.feed_titles.length > 0) { $(widget_data.feed_titles).each(function() { var found = false; var facility_title = $.trim(this); // Look up feeds from feed titles for(var i = 0; i < er_feed_names.length; i++) { // If it already is in the list, its a dup, ignore it if(facility_title == er_feed_names[i]) { found = true; break; } } if(!found) { er_feed_names.push(facility_title); } }); } else { // Only a single record, check for dups var found = false; // Look up feeds from feed titles for(var i = 0; i < er_feed_names.length; i++) { // If it already is in the list, its a dup, ignore it if(widget_data.feed_titles == er_feed_names[i]) { found = true; break; } } if(!found) { er_feed_names.push(widget_data.feed_titles); } } // Only setup the drop down functionality if dropdown is selected // ONLY 1 DROPDOWN per page will function correctly if(widget_data.facilities.length > 2) { $('.ehc-er-disclaimer').hide(); $('.ehc-er-facility-select').change(function() { if($(this).val() == 'Select Facility') { $('.ehc-er-facility-option[rel]').hide(); $('.ehc-er-disclaimer').hide(); $('.ehc-er-facility-dropdown-message').show(); } else { $('.ehc-er-facility-option[rel]').hide(); $('li[rel="ER Time '+$(this).val() + '"]').show(); $('.ehc-er-facility-dropdown-message').hide(); $('.ehc-er-disclaimer').show(); } }); } // Cache the widget data er_widget_data.push(widget_data); // Look up the actual feed URL and other info in the global variable ER_WAIT_TIME_FEEDS for (var i = 0; i < er_feed_names.length; i ++) { for (var j = 0; j < ER_WAIT_TIME_FEEDS.length; j++) { if (er_feed_names[i] == ER_WAIT_TIME_FEEDS[j].feed_name) { // console.log("feed name "+ER_WAIT_TIME_FEEDS[j].feed_name); var er_feed_map = { "feed_info" : ER_WAIT_TIME_FEEDS[j], "status" : "setup" }; er_feeds.push(er_feed_map); total_er_feeds = total_er_feeds + 1; break; } } } // Go through each feed and cache the feed data $(er_feeds).each(function() { getFeed(this); // console.log("get some feeds") }); // Sleep in an iterative loop and use a for loop to check if all feeds were successful setTimeout(function(){checkFeedsForSuccess(0)},3000); }); // Recursive function - need to make sure it stops itself after max feed attempts is reached function checkFeedsForSuccess(attempts) { // Double check and make sure that not all feeds have returned if(er_feeds_processed != total_er_feeds) { // Hide message, show loader // $('.ehc-er-loading .ehc-er-load-message').hide(); // $('.ehc-er-loading img').show(); $('.ehc-er-wait').addClass('feed-loading').removeClass('feed-error'); // Check feeds var done_searching = true; $(er_feeds).each(function() { if(this.status != "success") { getFeed(this); done_searching = false; } }); attempts = attempts + 1; if (attempts < er_max_feed_attempts && !done_searching) { t=setTimeout("checkFeedsForSuccess("+attempts+")",er_feed_attempt_interval); } else { if (typeof console !== "undefined") { console.log("Too many tries") } // Max tries, hide the loading bar and present message (retry calls this method again) $('.ehc-er-wait').addClass('feed-error').removeClass('feed-loading'); // $('.ehc-er-loading .ehc-er-load-message').show() // .html("Could not retrieve ER feeds. <a href='javascript:checkFeedsForSuccess(0)'>Retry</a>"); } } } // Retrieves the feed and sends the JSON data to processFeed function getFeed(er_feed_map,fallback) { var er_feed_url = er_feed_map.feed_info.json_url, division_feed = er_feed_map.feed_info.feed_name; $.support.cors = true; var json_request; if (window.XDomainRequest) { // keep old url er_feed_url = location.protocol+"//"; er_feed_url += (location.protocol.indexOf("https") > -1) ? "core.secure.ehc.com" : "core.ehc.com"; er_feed_url += "/src/widgets/er-wait-times/pages/er-wait-service-controller.dot?feed_title="+division_feed; json_request = new XDomainRequest(); json_request.open("GET",er_feed_url); } else if (window.XMLHttpRequest) { // modern browsers supported IE11+, Chrome, Firefox, Safari json_request = new XMLHttpRequest(); json_request.open("GET",er_feed_url,true); } else { json_request = new ActiveXObject("Microsoft.XMLHTTP"); er_feed_url = location.protocol+"//"; er_feed_url += (location.protocol.indexOf("https") > -1) ? "core.secure.ehc.com" : "core.ehc.com"; er_feed_url += "/src/widgets/er-wait-times/pages/er-wait-service-controller.dot?feed_title="+division_feed; json_request = new XDomainRequest(); json_request.open("GET",er_feed_url); } json_request.onload = function() { var JSON = $.parseJSON(json_request.responseText); if (JSON == null || typeof (JSON) == 'undefined') { JSON = $.parseJSON(data.firstChild.textContent); } getFeedSuccess(JSON,er_feed_map); } json_request.send(); json_request.onerror = function () { er_feed_map.status = "fail"; }; } function getFeedSuccess(data,er_feed_map) { var items = data.rss.channel.item; if (items.length > 0) { $(items).each(function() { // Add all variables from feed into JS array var feed_result = []; er_feed_map.status = "success"; feed_result.feed_info = er_feed_map.feed_info; feed_result.facility = this.title; feed_result.pub_date = this.pubDate; feed_result.er_time = this.description; feed_result.pub_date_formatted = false; er_feed_results.push(feed_result); }); er_feeds_processed = er_feeds_processed + 1; setupFacilitiesForWidgets(); } else { er_feed_map.status = "fail"; } } function setupFacilitiesForWidgets() { // Only run this function once all facilities are returned if(er_feeds_processed == total_er_feeds) { // For each widget, we'll need to find the facilities for those widgets in the cached feeds $(er_widget_data).each(function() { var current_widget_data = this; // For each facility specified in the widget var results = []; $(current_widget_data.facilities).each(function() { var er_facility = this; er_facility = $.trim(er_facility); // For each er_feed_result for(i = 0; i < er_feed_results.length; i++) { // Find a match for the widget's specified facility in the feed results if(er_feed_results[i].facility == er_facility) { // Add 00: to beginning and strip off Mins var time = er_feed_results[i].er_time; if(time.indexOf("Coming Soon") == -1) { time = time.replace("Mins","").replace(" ",""); if(current_widget_data.include_hours == "true") { // Add hours if (time.length == 1) { time = "0" + time; } time = "00:" + time; } } else { time = "Coming Soon"; } er_feed_results[i].er_time = time; // Setup the date based on the publication date set var already_formatted = er_feed_results[i].pub_date_formatted; if (already_formatted != true) { var pub_date_org = er_feed_results[i].pub_date; pub_date_org = pub_date_org.replace(/ -0700/,""); //.replace(/AM/," am").replace(/PM/," pm"); // Check for and save any timezone info // - all feeds are standard format with last 3 characters as timezone var timezone = pub_date_org.substring(pub_date_org.length - 3, pub_date_org.length); pub_date_org = pub_date_org.substring(0,pub_date_org.length - 4); // includes removing the space // Date formats are different for different feeds var old_date_format = er_feed_results[i].feed_info.date_format; var new_date_format = current_widget_data.pub_date_format; var new_time_format = current_widget_data.pub_time_format; var pub_date = moment(pub_date_org,old_date_format).format(new_date_format); pub_time = moment(pub_date_org,old_date_format).format(new_time_format); // For customizing based on area var new_header_date_format = current_widget_data.pub_date_format_header; var new_header_time_format = current_widget_data.pub_time_format_header; var pub_date_header = moment(pub_date_org,old_date_format).format(new_header_date_format); var pub_time_header = moment(pub_date_org,old_date_format).format(new_header_time_format); // Add timezone back to date pub_time = pub_time + " " + timezone; er_feed_results[i].pub_date = pub_date; er_feed_results[i].pub_time = pub_time; er_feed_results[i].pub_date_formatted = true; er_feed_results[i].pub_date_header = pub_date_header; er_feed_results[i].pub_time_header = pub_time_header; } results.push(er_feed_results[i]); break; // Need to use 'for loop' so can break before end if match if found (can't use $.each) } } }); // Calculate columns var columns = current_widget_data.columns; if (columns == undefined || columns == "") { columns = 1; } columns = parseInt(columns); // Round down, keep a column count so that if we're on the last column, keep going if((results.length/columns) % 1 >= 0.5) { var items_per_column = Math.floor(results.length / columns) + 1; } else { var items_per_column = Math.floor(results.length / columns); } // Print results in the er-wait div var counter = 0; var column_count = 0; var feed_html = ""; var er_wait_container = $(".ehc-er-wait"); for(e = 0; e < er_wait_container.length; e++) { if(current_widget_data.facilities.length > 2) { var options = $(".ehc-er-facility-select"); // Add in column logic $(results).each(function() { // Add results to the DOM var this_er_time = parseInt(this.er_time); var er_wait_time_class = "wait-time"; if (this_er_time > 60) { er_wait_time_class += " high"; } else if (this_er_time > 30) { er_wait_time_class += " med"; } else { er_wait_time_class += " low"; } //If wait time is 1 min, change "mins" to "min" or "Minutes" to "Minute" if (this_er_time == 1) { var minsOrMinutes = $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time .mins').html(); if (minsOrMinutes == "mins") { $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time .mins').html("min"); } else if (minsOrMinutes == "Minutes") { $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time .mins').html("Minute"); } } $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time').attr('class',er_wait_time_class); $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time .time').html(this.er_time); $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] a[data-wait-time]').attr("data-wait-time",this.er_time.replace(/\s/g,"")); $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .published .pubdate').html(this.pub_date); $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .published .pubtime').html(this.pub_time); }); $(er_wait_container[e]).removeClass("feed-loading"); } else { // Add in column logic $(results).each(function() { // Logic for creating columns (ul) if(counter == 0) { column_count = column_count + 1; } else if (counter % items_per_column == 0 && column_count != columns) { column_count = column_count + 1; } var this_er_time = parseInt(this.er_time); var er_wait_time_class = "wait-time"; if (this_er_time > 60) { er_wait_time_class += " high"; } else if (this_er_time > 30) { er_wait_time_class += " med"; } else { er_wait_time_class += " low"; } //If wait time is 1 min, change "mins" to "min" if (this_er_time == 1) { var minsOrMinutes = $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time .mins').html(); if (minsOrMinutes == "mins") { $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time .mins').html("min"); } else if (minsOrMinutes == "Minutes") { $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time .mins').html("Minute"); } } // console.log("Current facility "+this.facility); // Add results to the DOM $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time').attr('class',er_wait_time_class); $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .wait-time .time').html(this.er_time); $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] a[data-wait-time]').attr("data-wait-time",this.er_time.replace(/\s/g,"")); // $(er_wait_container[e]).find('.feed.published .pubtime').html(feed_pub_time); if($(er_wait_container[e]).attr("id") == "header-wait-times") { $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .published .pubdate').html(this.pub_date_header); $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .published .pubtime').html(this.pub_time_header); } else { $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .published .pubdate').html(this.pub_date); $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .published .pubtime').html(this.pub_time); } $(er_wait_container[e]).removeClass("feed-loading"); // $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .published .pubdate').html(this.pub_date); // $(er_wait_container[e]).find('[data-ertitle="'+this.facility+'"] .published .pubtime').html(this.pub_time); }); } } }); // Hide the loading bar $('.ehc-er-loading').hide(); // TRIGGER EVENT ONCE THE ER WAITS HAVE LOADED // TRIGGER EVENT ONCE THE ER WAITS HAVE LOADED if (document.createEvent) { var event = document.createEvent('Event'); // Define that the event name is 'build'. event.initEvent('er_wait_loaded', true, true); document.dispatchEvent(event); } else { document.fireEvent("er_wait_loaded"); } // set a continuos loop, check for the latest ER Wait Time every 5 minutes if (er_wait_time_loaded === false){ window.setInterval(function(){ update_er_wait_times() }, 300000); } er_wait_time_loaded = true; // this is for changing image in background if less than 480 $(window).resize(function() { var browserWidth = $(window).outerWidth(); if (browserWidth < 640) { $(".map-wrap img").attr("src","//core.ehc.com/src/apps/stacks/er-wait-time/v1/svg-map-mobile.jpg"); } else { $(".map-wrap img").attr("src","//core.ehc.com/src/apps/stacks/er-wait-time/v1/svg-map.jpg"); } }).resize(); } } function update_er_wait_times() { // reset counters er_feeds_processed = 0; er_feed_results.length = 0; $(er_feeds).each(function() { getFeed(this); }); } </script> <script type="text/javascript" src="//core.secure.ehc.com/templates/header/includes/er-navigator/v1/assets/er-navigator-analytics.min.js"></script> <script type="text/javascript" src="//core.secure.ehc.com/templates/header/includes/er-navigator/v1/assets/er-navigator-v1.min.js"></script>  <script> // masonry containers var msnry_containers = document.querySelectorAll('.tab-pane.masonry-tab div.row[data-masonry="true"]'); for (var i=0; msnry_containers.length > i; i++) { var msnry = new Masonry( msnry_containers[i], { itemSelector: '.masonry' }); msnry.layout(); } </script> <input type="hidden" id="gap-facility-title" value="Good Samaritan Hospital"/> <script type="text/javascript" src="//core.secure.ehc.com/design/lib/analytics/assets/feature-checker.min.js?v=11222024151154"></script> </body> </html>

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