copy and paste this google map to your website or blog!
Press copy button and paste into your blog or website.
(Please switch to 'HTML' mode when posting into your blog. Examples: WordPress Example, Blogger Example)
AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION I hereby authorize health care provider] to disclose to: [Name of physician, hospital or Name of Requestor: ________________________________________________________________ Address: _________________________________________________________________________ City: ___________________________ State: __________________ Zip Code: _________________
Financial Assistance Application Any individual whose family income is at or below 400% of the federal poverty level and is either uninsured or has high medical cost may be eligible for the hospital's charity (free) care or discounted care
AUTORIZACIÓN PARA EL USO O LA DIVULGACIÓN DE INFORMACIÓN MÉ Puedo revocar esta autorización en cualquier momento Mi revocación debe hacerse por escrito, estar firmada por mí o en mi nombre y entregarse en el siguiente domicilio: Madera Community Hospital, ATTN: Health Information Management, 1250 E Almond Avenue, Madera, CA 93637
Single Sign On - pacs. maderahospital. org LOG IN *WARNING: This system is to be used only by authorized persons System activities are monitored for security purposes Anyone using this system consents to such monitoring If electronic personal health information is created, accessed, transmitted or received on this system, the user accepts responsibility for complying with this organization's security policies and procedures
LOG IN - pacs. maderahospital. org LOG IN Windows Login *WARNING: This system is to be used only by authorized persons System activities are monitored for security purposes Anyone using this system consents to such monitoring If electronic personal health information is created, accessed, transmitted or received on this system, the user accepts responsibility for complying with this organization's security policies and