Patient Records

By law you have the right to copies of all patient records that the District maintains with regards to medical services that it might have provided to you, or someone in your care.  If you are in need of copies of your records please contact our office (973) 267-5659 Extension 118.  You will need to have completed and return to us an Original HIPAA Compliant Patient Records Release Form.  No facsimile transmissions, Email submissions or copies of any release form will be accepted. The original must bear a verifiable signature, a date (not more than 30 days prior) and witness signature if required.  All records requests must be made out to Hanover Township Fire District No. 3 at the District's address.  Any requests which do not comply with the District's policies will not be processed.

Digital HIPAA Request Form

Note: The District maintains its records in compliance with applicable State Laws.  Once records have met their required retention date an application is made to the State and records are only destroyed in accordance with the State's Destruction of Public Records Act, Chapter 410, PL 1953, and with the State's approval.