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  • AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION
    AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION Completion of this document authorizes the disclosure and or use of individually identifiable health information, as set forth below, consistent with California and Federal law concerning the privacy of such information Failure to provide all information requested may invalidate this Authorization
  • 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
  • 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
  • PATIENT RIGHTS - maderahospital. org
    File a complaint with the California Department of Public Health regardless of whether you use the hospital’s grievance process The California Department of Public Health’s phone number and address is: 1604 Sunrise Ave , Madera, CA 93638, (559) 675-7893 x12
  • Madera Ticket System
    customer support platform Welcome to the Support Center In order to streamline support requests and better serve you, we utilize a support ticket system Every support request is assigned a unique ticket number which you can use to track the progress and responses online For your reference we provide complete archives and history of all your support requests A valid email address is required
  • Financial Assistance Application
    Financial Assistance Application Instructions If you need help paying your medical bill, you may be eligible for financial assistance from Madera Community Hospital 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 To determine
  • AVISO DE PRÁCTICAS DE PRIVACIDAD DE HIPAA 507-8525 507-8525
    ¿QUIÉN SEGUIRÁ ESTE AVISO? Este aviso describe las prácticas de privacidad de Madera Community Hospital Todo nuestro personal puede tener acceso a la información en su historial para el tratamiento, el pago y las operaciones de atención médica, que se describen a continuación, y puede usar y divulgar información como descrito en este Aviso Este Aviso también se aplica a cualquier
  • DERECHOS DEL PACIENTE - maderahospital. org
    Presentar una queja en el Departamento de Salud Pública de California (California Department of Public Health, CDPH), independientemente de que utilice el proceso de quejas del hospital El número de teléfono y la dirección del Departamento de Salud Pública de California son: 1604 Sunrise Ave , Madera, CA 93638, (559) 675-7893 x12
  • Madera Ticket System
    customer support platform Open a New Ticket Please fill in the form below to open a new ticket
  • Madera Ticket System
    customer support platform Copyright © 2026 Madera Community Hospital - All rights reserved





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