When you or your child receives care at Gillette Children's Specialty Healthcare, we want you to understand your rights, and that we’re committed to protecting your safety and privacy.
Understand Your Rights and Responsibilities
Gillette adheres to the Federal Patient’s Bill of Rights as well as the Minnesota Patients’ Bill of Right (PDF).
Get a printable guide to your rights and responsibilities (PDF) s10投注网址while you or your child is receiving care.
When you come to Gillette, know that we comply with applicable federal civil rights laws and don’t discriminate based on race, color, national origin, age, disability, or sex. Download our Nondiscrimination Standards (PDF).
Request Your Medical Records
Copies of your medical records are available from Gillette Children’s Health Information Services department. You can also view health record in our online patient portal, MyGillette.
s10投注网址To request medical records, you as a patient, or as a parent or guardian of a patient, must complete and sign an Authorization to Release form.
- Authorization to Release (PDF).
- Authorization to Release (PDF) Spanish.
- Authorization to Release (PDF) Hmong.
- Authorization to Release (PDF) Somali.
s10投注网址If you are unable to print the form, or have questions about requesting medical records, please call 651-312-3122.
s10投注网址Acting as a written request, your completed Authorization to Release form:
- Helps Gillette correctly identify the medical information you want to receive.
- Documents your authority to receive information you are requesting on a patient’s behalf. Proof of guardianship is required to be on file in the patient's medical record to obtain medical records.
- Provides Gillette with a record of written requests and the medical information we’ve released.
- Is necessary to comply with federal and state regulations and laws.
Completed forms can be faxed to 651-229-3888. You can also mail or deliver in person to:
Gillette Children's Specialty Healthcare
Attention: Health Information Services
Internal code: 200105
200 s10投注网址 Ave. E.
s10投注网址 St. Paul, MN 55101
s10投注网址Incomplete forms will be returned for completion.
Notice of Privacy Practices
Your health information—about you or your child—is personal. Protecting the privacy of your health information is critical. Please know that Gillette complies with all applicable federal and state privacy and confidentiality laws.
s10投注网址The Notice of Privacy Practices describes how we maintain your privacy. It describes personal information about patients, how we use it and with whom we share it. This notice also explains your right to not have your information shared with parties outside Gillette.
s10投注网址If you have a concern regarding your privacy or questions regarding this notice, please call 651-578-5632.
We help ensure your privacy by releasing your personal information only to people you've agreed should receive it. If you would like to authorize disclosure of your personal information to someone, such as a family member or attorney, you may contact our Health Information Services department at 651-229-3886.
Questions or Feedback?
s10投注网址If you have questions about your rights or wish to provide feedback, contact Quality Improvement Resources at 651-578-5218 or Child and Family Services at 651-229-3855.
Or, securely submit feedback or concerns about your care at Gillette on our contact page.