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Health Information Management / Medical Records


Forest Hills Hospital-Administrative Annex
99-31 66th Avenue Suite 700
Forest Hills NY 11375
General Info: 718-925-6640

Fax: 718-925-6669

Director: Marlyne Renaudin-Guerrier, MSA, RHIA, CPC
Phone: 718-925-6641

Assistant Director: Antonine Larochelle, MSA
Phone: 718-925-6642

Hours of Operation

Open to the general public:
Monday through Friday
8 AM to 4 PM
Open to the medical and hospital staff:
Monday through Friday
7AM to 12:00AM
Saturday, Sunday, Holidays
9AM to 5PM

Release of Information

All patient health care information at Forest Hills Hospital is confidential. Medical records cannot be released to any person without the authorization of the patient or the patient's legally authorized representative (unless authorized by law).

Requesting Medical Records

All requests for the release of medical records must be submitted in writing and must be dated and signed by the patient or the patient's legally authorized representative. In the case of a minor, the parent or guardian must sign the authorization. Emancipated minors are not subject to this requirement.

Submitting a Request

For record requests, you may download a medical records release form (Authorization for Release of Health Information Pursuant to HIPAA) or pick up a form at the locations listed below.  Submit completed forms as follows:
Mail Forms To:
Attention: HIM / Medical Records
Forest Hills Hospital
102-01 66th Rd
Forest Hills, NY 11375
Hand Deliver Forms:
Attention: Correspondence Department
NSLIJ Administrative Annex
99-31 66th Avenue
Forest Hills, NY 11375

To submit requests for films or copies of films, contact the Radiology Department at 718-830-1747.

You may contact an HIM representative at 718-925-6667/6668 during the hours of 8 a.m.–4:00 p.m.

Fee for Copying Patient Records

Forest Hills Hospital has contracted with HealthPort, a copy service vendor, to process medical records requests. There is a fee of 75 cents per page if the medical record is being released to the patient or patient representative. However, there is no fee if the record is being released to a doctor or healthcare provider for continuity of care.

Time Frame for Medical Records Release

Patients should allow 10 business days to process the request. Medical records stored offsite are to be released within 30-60 days after receipt of the request. All records are mailed via U.S. mail. Please be sure to indicate where medical records are to be mailed when completing the medical records release form (item #7).

Birth Certificates

The HIM Department is responsible for the creation of a birth certificate for every live-born infant delivered at or in route to Forest Hills Hospital. Birth certificates are submitted within five days of birth to the Department of Health Vital Records Department, the entity solely responsible for distributing copies to qualified individuals. For more information on birth certificates visit their website at http://www.nyc.gov/health.

Click on the appropriate link to our brochure, Women's New Life Center - Registering Your Newborn's Birth, to learn more about birth registration at Forest Hills Hospital.

Clinical Coding

The HIM Department is responsible for clinical coding of all hospital service encounters, from inpatient hospitalizations to simple outpatient visits for diagnostic testing. The ICD-9-CM coding nomenclature system is employed for diagnosis and procedure coding of all patient types. In addition, the CPT-4 procedure coding system is utilized for certain outpatient cases, as required by governmental and third-party payers.

Comprehensive Tumor Registry

The HIM Department maintains a comprehensive registry of all cancer patients diagnosed and/or treated in the Hospital. The registry includes patients from 1996 through the present.