Patient Privacy and Confidentiality is our priority.

Your privacy is important.  At the Stockbridge-Munsee Health and Wellness Center (SMHWC) your medical records are kept strictly confidential yet readily available when you need to share information with your health care team.

The physical health care record is the property of the Stockbridge-Munsee Health and Wellness Center and is maintained for the use of our Facility and Staff for the benefit of the patient.  The information contained in your medical records belongs to you, and you are entitled to access that information.

How do I request copies of or transfer my Medical Records?

You are welcome to request copies of your medical records at any time. Please read below.

• If you want your records forwarded to another health care provider, please contact our Medical Records Department for assistance.  The Stockbridge-Munsee Health and Wellness Center will cooperate with transferring your medical records to another health care provider at your request.  There is no fee to transfer your medical information to another health care provider.
   
• You may also contact that clinic directly to have your records sent to avoid delays.
   
• At times your health care journey will take you from the doctor’s office to a hospital or specialty practice.  If you are currently seeing a provider at the Stockbridge-Munsee Health and Wellness Center we want to make this process as convenient as possible.
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• We will transfer the necessary records to the hospital or specialty practice for you.
   
• If you would like your records to be sent to a non-health care related entity (i.e. insurance company, attorney), the entity must request them directly from the Stockbridge-Munsee Health and Wellness Center in writing.
   
• If you would like to request a copy of your immunizations, you can do so online: Wisconsin Immunization Registry (https://www.dhswir.org/PR/clientSearch.do?language=en)
   

Is there a fee for requesting my medical records?

Yes. The law allows for exceptions and typically limits the amount of information that can be released under special circumstances.  Some examples would be in response to a medical emergency, workers’ compensation claim or your insurance company for payment purposes.

Do I need Proof of Guardianship or Power of Attorney for Health Care paperwork?

If you have legal documents signed by a judge showing you have custody of a minor child, you are permitted to receive copies of the child’s health information.  You may also have access to patient records if you have a legally signed document that lists you as the patient’s Power of Attorney for Health Care and the patient is declared no longer capable or able to make their own health care decisions. Copies of such documents must be on file at our facility. 

Forms

• Amendment Form
• Authorization For Disclosure of Medical Information