Health Information

• HIPAA Privacy Notice

Protecting our patients’ medical information is a priority at St. James Mercy. The attached notice (pdf) describes how medical information about you may be used and disclosed and how you can get access to this information. Download the HIPAA Privacy Notice (pdf)

• Medical Record Request

For patients requesting a copy of their health records, please download and print a copy of the “Patient’s Request for Access to Protected Health Information” (pdf)] form.

Mail the original, signed form to:

St. James Mercy Health System

Attention: Health Information Management Services

411 Canisteo St., Hornell, NY 14843

Or fax to: 607-324-8708

Please note there may be a charge for this request.

• Universal Medication Form

It is important for you to have a record of the medications you are taking in an emergency. Please download and print the “Universal Medication Form”(pdf) and fill it out for you or your loved one and carry it with you

• Health Links

These on-line health resource websites are designed to help meet your health information needs and aim to provide general information about the topics they present. To search for health information, click on any of the following links.

• www.LaurusHealth.com
• www.MedLinePlus.org
• www.WebMD.com

Note: This information is general in nature and should not be relied upon as medical advice. The above organizations are not affiliated in any way with St. James Mercy Health System.