Notice of Privacy Practices
Dimensions Healthcare System is committed to protecting the privacy and confidentiality of our patient’s health information. The HIPAA Privacy Rule is the federal law designed to help protect the privacy of patient’s health information. “HIPAA” stands for the Health Insurance Portability and Accountability Act of 1996.
The HIPAA Privacy Rule requires that we give each patient our Notice of Privacy Practices to explain how we may use their health information. Our privacy practices will be followed by all Dimensions Healthcare System facilities including Bowie Health Campus, Laurel Regional Hospital, Prince George’s Hospital Center, and the Senior Health Center.
- Notice of Privacy Practices: English: (Click here) Spanish: (Click here)
- A Patient’s Guide to Health Information Exchange: English: (Click here) Spanish: (Click here)
- Health Information Exchange Opt-Out Form: English: (Click here) Spanish: (Click here)
Copies of this Notice are also available at the Dimensions Healthcare System Corporate Office and/or in the Executive Office at each Dimensions Healthcare System facility.
If you have any questions about this Notice or our privacy practices, please contact:
Chief Compliance and Privacy Officer
Dimensions Healthcare System
3001 Hospital Drive
Executive Suite
Cheverly, MD 20785
Phone: (301) 583-4000 / Fax: (301) 618-3966 / TTY: (301) 618-3170
Request a Copy of Your Medical Records
If you would like to request a copy of your medical record, you must complete an Authorization for Release of Protected Health Information. If you are the legal guardian, healthcare agent, power or attorney or other legal representative of the patient, please attach proof of your authority to act on behalf of the patient. Please be sure to fill-in the form completely, including signature and date, or the form may be returned to you for completion. Please submit completed forms by mail, fax (the fax request will only be accepted for urgent, continuity of care requests to physician offices, or other urgent care settings) or in person, to:
Prince Georges Hospital Center
3001 Hospital Drive
Cheverly, Maryland 20785
Phone: 301-618-2120 Fax: (301)-618-2997
Hours: 9-4 Monday through Friday
Laurel Regional Hospital
7300 Van Dusen Road
Laurel, Maryland 20707
Phone: (301) 497-7921 / Fax: (301)-497-7946
Hours: 9-4 Monday through Friday
Bowie Health Center/Dimensions Surgery Center
15001 Health Center Drive
Bowie, Maryland 20722
Phone: (301) 809-2098 / Fax: (301)-809-2080
Glenridge Medical Center
7582 Annapolis Road
Lanham, Maryland 20784
Phone: (301) 618-6668 / Fax: (301)-618-2997
Hours: 9-4 Monday through Friday
Rachel H. Pemberton Senior Health Center
3601 Taylor Street, Suite 108
Brentwood, Maryland 20722
Phone: (301) 927-4987 / Fax: (301)-864-9460
Hours: 9-4 Monday through Friday
Medical Records FAQs
1. Will you mail the copies or will I have to pick them up?
We can mail the copies to the address you specify on the Authorization form, or you can make arrangements to pick them up during our hours of operation.
2. Will you fax medical information?
We will only fax medical records to another healthcare provider or facility for continuing medical care.
3. Is there a fee for copying medical records? Yes, there is a fee to copy medical records. $0.76 per page copy charge. $22.88 preparation charge (This fee is not charged to patients.) There is no charge for records sent directly to a physician or healthcare facility for continuing care. The fees will be in compliance with applicable Maryland State guidelines.
If you have questions or concerns regarding your Medical Record or to request a copy of your Medical Record, please contact:
Health Information Management / Medical Records
Release of Information
3001 Hospital Drive
Cheverly, MD 20785
Phone: (301) 618-6969 / TTY: (301) 618-317 Fax: (301) 618-2997
Request a Copy of Your Birth or Death Certificate
The Division of Vital Records of the Maryland Department of Health and Mental Hygiene issues certified copies of birth, death, fetal death, and marriage certificates for events that occur in Maryland. To receive a certified copy of a vital record, please contact:
The Division of Vital Records
6550 Reisterstown Road
Reisterstown Road Plaza
Baltimore, MD 21215
Phone (410) 764-3038 / (800) 832-3277
For more information, please visit the Division of Vital Records website at www.vsa.maryland.gov.
