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Insurance Plans

Health Information Management

Health Information Management (HIM) / Medical Records Department Policies

Community Council Health Systems (CCHS) is committed to protecting your privacy. Our staff treats your medical records’ information in compliance with federal and state requirements.

Obtaining Medical Records

In order to protect your privacy, we require written authorization to release your medical records to another person or organization. Below is the Authorization to Release or Obtain Confidential Health Information form, which you can print, fill out, and return to the HIM /Medical Records Department. Please allow two to three business days for processing.






If you believe your Privacy Rights have been violated, you may submit your complaint in writing to the attention of the CCHS’ Privacy Officer. Call the Privacy Hotline at 866-292-6151 or telephone the HIM department. The quality of your care will not be jeopardized, nor will you be penalized for filing a complaint. Your feedback allows us to improve our services.


HIM Contact Information

If you have questions regarding request for copies of medical records, please contact the Health Information Management (HIM) /Medical Records Department at: 

  • Phone: 215-473-7033 Extension 7121   Business hours are 9 a.m. to 4:30 p.m., Monday through Friday.

  • Fax: 215-473-5961 (We only accept a legible fax from healthcare providers.)

  • Mail: You can also mail your correspondence to:

Community Council Health Systems

Attention: Health Information Management Department

4900 Wyalusing Avenue

Philadelphia, PA 19131

Click the PDF icon
to download
the CCHS ROI form.
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