0
Skip to Content
Warren General Hospital
HOME
OUR SERVICES
NEWS
CONTACT
JOBS at WGH
ABOUT
CEO MESSAGE
ADMINISTRATION
HISTORY
WHAT PEOPLE ARE SAYING
EVENTS
VACCINATION INFORMATION
Warren General Hospital
HOME
OUR SERVICES
NEWS
CONTACT
JOBS at WGH
ABOUT
CEO MESSAGE
ADMINISTRATION
HISTORY
WHAT PEOPLE ARE SAYING
EVENTS
VACCINATION INFORMATION
HOME
OUR SERVICES
NEWS
CONTACT
JOBS at WGH
ABOUT
CEO MESSAGE
ADMINISTRATION
HISTORY
WHAT PEOPLE ARE SAYING
EVENTS
VACCINATION INFORMATION

Medical Records

Attached below are the General and Behavioral Health (BH/DA) patient Authorization forms for the use and disclosure of Protected Health Information (PHI).

Click on the reports to open and print the forms.

Authorization for Warren General Hospital to use or disclose your protected health information to other entities

Authorization for other entities to disclose your protected health information to Warren General Hospital

Behavioral Health/Drug and Alcohol Authorization for other entities to disclose your protected health information to Warren General Hospital

Behavioral Health/Drug and Alcohol Authorization for Warren General Hospital to use or disclose your protected health information to other entities

2 Crescent Park West
Warren PA 16365 - 814.723.4973

  • VISITOR’S GUIDE

    TELEPHONE DIRECTORY

    PATIENT’S RIGHTS, RESPONSIBILITIES AND PRIVACY NOTICE

    YOUR NEEDS AND ACCOMMODATIONS

    DISCHARGE CHECKLIST

    FOOD SERVICE OPTIONS

    HOSPITAL GIFT SHOP

    DAISY AWARD NOMINATIONS

    BEE AWARD NOMINATIONS

    SEND A GREETING CARD

    MEDICAL RECORDS

    LIFE SUSTAINING TREATMENT

    YOUR PROTECTION

    COMMUNITY HEALTH NEEDS ASSESSMENT

  • VOLUNTEERING

    AUXILIARY

  • PAY A BILL

    YOUR MEDICAL BILL

    FINANCIAL ASSISTANCE

    UNDERSTAND PRICING

    AFFORDABLE CARE ACT

    SURPRISE BILLING DISCLOSURE

PRICE TRANSPARENCY