HOW TO ISSUE COPY OF MEDICAL RECORD

Issuing copy of medical record

Opening hours of the medical records office

  • Monday to Friday 8.30-12.30 14.30-17.00
  • Saturday 8.00-12.00

The office is located in the main entrance next to the hospital admissions desk

The request for a copy of the medical record must be submitted with the designated form in one of the following ways:

  • In person during opening hours
  • By fax to the following number: 059-394840
  • By email to the following address: This email address is being protected from spambots. You need JavaScript enabled to view it.
  • By post to the following address: Hesperia Hospital, medical records office, Via Arquà 80/a, 41125 Modena

A FRONT AND BACK COPY OF THE IDENTITY DOCUMENT MUST BE ATTACHED TO THE REQUEST

The cost of an authenticated copy of the medical record is as follows:

€ 55,00 for admissions for cardiac surgery - € 25,00 in all other cases

Payment is in advance using the following bank account details:

  • Account n. 16335416 – for bank transfers: IBAN IT33H0538712900000000023049
  • Account holder: Hesperia Hospital Modena – Via Arquà 80/a 41125 Modena
  • In the description of payment indicate name, surname, date of birth, date of admission.

N.B. If the medical record is to be collected by someone other than the person specified in the record, the following documents must be presented:

  • written consent signed by the person named in the medical record
  • photocopy of the identity document of the person named in the medical record
  • photocopy of the identity document of the person authorised to collect the medical record 

For inquiries, call 059-449112 from Monday to Saturday 8.30-12.00

Request for medical records


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