Saint Clare’s Patient Admissions
Open Admissions Policy: It is, and has always been, the policy of Saint Clare’s Health System
to admit all persons without regard to race, color, creed, sex, sexual
preference, age, physical and mental handicap, national origin, social
or economic status. All medical center facilities are available to patients
and visitors without discrimination.
Patient Admissions Procedure: When you register as an inpatient, you will be issued a special identification
wristband, which must be worn at all times until you are discharged from
Saint Clare’s Health System. Note: The information on your chart
is permanently recorded and is released only with written consent, except
where required by law.
Patient Consent for Treatment Forms: These forms must be completed and signed by the patient or appropriate
surrogate prior to treatment or therapy. The forms are designed for the
protection of the patient as well as Saint Clare’s Health System.
Please read these forms carefully and feel free to ask any questions you
may have before signing.
Patient Medical Records: Following your visit or stay at Saint Clare’s, you may need to obtain
a copy of your medical records or authorize Saint Clare’s to disclose
your health information.
In order to comply with state and federal regulations for release of information,
Saint Clare’s requires a valid, written authorization to be completed
and signed by the patient before information may be released. For your
convenience, Saint Clare’s has developed a
Release of Information authorization form, which is also available in
Spanish. To request a copy of a medical record, please print and complete the
entire form, taking note of the following information:
- Patient’s name, date of birth, and social security number
- Purpose for release
- Specific information to be released
- Date(s) of service
- To whom the records are being sent (name/address)
- The patient/legal guardian’s dated signature
Mail or fax the completed form to:
Saint Clare’s Health Information Center
400 West Blackwell Street
Dover, NJ 07801
State and federal law allows up to 30 days to process this request, although
we cannot guarantee a specific date prior to 30 days, all efforts will
be made to provide the requested information in as timely manner as possible.
State and federal laws allow fees to be charged for the retrieval and
copying of records. You will be informed of any such fees prior to the
actual copying and release of information.
For more information regarding requesting copies of patient medical records,
please call Saint Clare’s Health Information Center (Patient Records):