Benson Hospital Nutrition - Benson, Arizona

Some of our services include:

Maintenance and Retention of Records

We ensure that your records are maintained for a minimum of 7 years or until age 21 in the case of minors. They are stored in secured areas. It is our mission to ensure the confidentiality of your records and accessibility only to appropriately designated staff.

Release of Information

To obtain copies of your records or a minor child’s records: (click here for form)
In order to protect the confidentiality of your records, you must complete a Patient Request for Records form. You may complete this form in the Health Information

Management department hours:
         Monday through Friday between 7:00 a.m. and 4:30 p.m.
       You will need to present a picture I.D. at the time the request for records is submitted.
         You can obtain a form here or print out the above form and bring it with you.

To pick up records for your spouse or other individual or to have someone else pick up your records:
(click here for form)

We must have permission in writing for you to pick up records or to have someone else pick up your records. You must have a completed Authorization to Use or Disclose Protected Health Information to pick up another individual’s records. If someone else is to pick up your records, you must provide them with a completed form to bring with them to the hospital.

You may print out the form above to complete.

If you are unable to come to the Health Information Management department during normal working hours, please call us at (520) 586-2261 x244 and we will work with you to make other arrangements.


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