Rules for providing medical documentation
Authorized to receive medical documentation are:
the patient or their legal representative; a person authorized by the patient; an authorized body or entity; after the patient's death, medical documentation is made available to a person authorized by the patient during their lifetime or to a person who was their legal representative at the time of the patient's death; medical documentation is also made available to a close relative, unless another close person has objected to it or the patient objected to it during their lifetime (Article 26 (2) of the Patient Rights and Patient Ombudsman Act).
Medical documentation is made available in the following forms:
- For inspection (including access to healthcare databases) on-site, under the supervision of a person authorized to provide medical documentation, including: registration employee, medical secretariat employee, attending physician/duty physician, with the possibility of making notes or taking photographs. This applies to both paper documentation and documentation kept electronically;
- By preparing copies (extracts, transcripts) of paper documentation and printing from electronic documentation or copies of test results on electronic media;
- By issuing the original with a receipt and subject to return after use, at the request of public authorities or general courts, as well as in cases where a delay in providing the documentation could endanger the life or health of the patient;
- Via electronic means of communication;
- On an electronic data carrier.
Sharing medical documentation
Medical documentation is made available upon request in the form of written, oral or telephone after prior identity verification
The patient can use a ready-made Application for the release of medical documentation. The Application for the release of medical documentation can be submitted:
at the medical secretariat of the department or at the registration of the outpatient clinic
from 8.00 am to 2.30 pm from Monday to Friday;
sent to the address:
NU-MED GRUPA SA, ul. Królewiecka 146, 82-300 Elbląg;
sent electronically to the address: sekretariat@nu-med.pl
In the case of medical documentation being collected by a person other than the patient or the person specified in the medical documentation (in the Authorization and Consent Card), an Authorization for the release of medical documentation must also be submitted.
Method of receiving medical documentation:
- Personal pickup or by an authorized person takes place during the following hours: 8:00 am – 3:00 pm, from Monday to Friday (excluding holidays), at the medical secretariat of the department or the registration of the outpatient clinic;
- Upon the request of the applicant, medical documentation can be sent by registered mail.
The patient has the right to access medical documentation regarding their health condition and provided healthcare services.
According to Article 28 of the Patient Rights and Ombudsman for Patient Rights Act, the healthcare provider may charge a fee for providing the patient with medical documentation. No fees are charged for providing medical documentation:
to the patient or their legal representative for the first time in the requested scope and manner as specified in the law;
in connection with proceedings before the provincial commission for adjudicating on medical incidents.
Current information regarding the rules for accessing medical documentation and the fees for providing documentation in a specific form can be obtained at the Registration Desk of the Center for Radiotherapy and Rehabilitation, tel. 55 2358900 - 01.
Patients or authorized individuals who wish to obtain medical documentation from the Treatment Plan or CT scan for planning can submit their request through the contact form (attachment) or by calling the CALL CENTER.
Phone: +48 32 420 10 20 Email: Katowice-sekretariat@nu-med.pl
The patient or authorized person will directly arrange with the secretariat the form of transferring the documentation (scan, CD) and the method of its transfer. The documentation can be transferred:
By regular mail (the first copy of documentation is free),
Online - in the form of encrypted lifelong cloud access or a link,
Directly at Centrum Diagnostyki i Terapii Onkologicznej - Katowice (Center for Oncological Diagnosis and Therapy - Katowice)
Before issuing the documentation, the patient is required to provide (by scan or physically) a consent form.
In cases where the patient or authorized person wants to obtain the full documentation, they are advised to contact the medical documentation department at UCK SUM or use the following contact details:
Phone: +48 32 3581 228 Email: poczta@uck.katowice.pl
Both NU-MED Centrum Diagnostyki i Terapii Onkologicznej - Katowice (Center for Oncological Diagnosis and Therapy - Katowice) and the Unwersyteckie Centrum Kliniczne SUM w Katowicach closely cooperate in terms of providing medical documentation.
The patient has the right to access medical documentation related to their health status and provided healthcare services.
According to Article 28 of the Patient Rights and Patient Ombudsman Act, a healthcare provider may charge a fee for providing medical documentation to the patient. No fees are charged for providing medical documentation in the following cases:
To the patient or their legal representative for the first time in the requested scope and manner specified in the law;
In connection with proceedings before the provincial commission for assessing medical events.
Current information regarding the rules of providing medical documentation and the amount of fees for providing documentation in specific forms is available at the Medical Secretariat, phone: +48 32 420 10 20.
Patients have the right to access their medical records related to their health condition and provided healthcare services.
According to the Article 28 of the Patient Rights and Ombudsman for Patients' Rights Act, a healthcare provider may charge a fee for providing medical records to the Patient. No fees are charged for providing medical records:
to the Patient or their statutory representative for the first time, in the requested scope, and in the manner specified by the law;
in connection with proceedings before the provincial commission for adjudicating medical events.
Current information regarding the rules for accessing medical documentation and the fees for providing documentation in a specified form is available in the
Chemotherapy Department Coordinator's Office on the 1st floor,
under Ms. Kinga Rożnowska.
Phone: 44 786 81 84 or 516 210 326
Email: kinga.roznowska@nu-med.pl
Principles of Providing Medical Documentation
Authorized Recipients of Medical Documentation:
A healthcare provider is obligated to provide medical records to the patient or their legal representative, a person authorized by the patient, authorized authorities, and in the event of the patient's death, the right to access the medical documentation is granted to a person authorized by the patient during their lifetime - an authorization to receive documentation.
Forms of Providing Medical Documentation:
Medical records can be made available:
- for review, including access to healthcare data systems,
- at the location where healthcare services are provided, excluding medical emergency procedures,
- at the headquarters of the healthcare provider,
- while ensuring the patient or other authorized authorities or entities the possibility to make notes or take photographs,
- by preparing an abstract, copy, or printout of the medical records,
- by providing the original with confirmation of receipt and subject to return after use, at the request of public authorities or common courts, and in cases where delaying the release of the documentation could endanger the patient's life or health, through electronic means of communication,
- on an electronic data storage device.
Medical documentation is provided based on a written request: submitted in person at the Medical Secretariat,
sent via email to the address: paulina.galka@nu-med.pl, rejestracja.zamosc@nu-med.pl,
or sent by post to the address:
Centrum Diagnostyki i Terapii Onkologicznej - Zamość (Center for Oncological Diagnosis and Therapy - Zamość)
Aleje Jana Pawła II 10, 22-400 Zamość
Contact: Medical Secretariat phone number: 84 535 9 860
Processing Times for Requests:
Personal pickup or pickup by an authorized person - within 3 days from the date of submitting the request, mailing - within 14 days from the date of submitting the request.
A correctly completed request should include:
- the date of filling out the request,
- complete personal and address details of the applicant: first name, last name, PESEL (Personal Identification Number), postal code, post office, street, house number, city,
- contact details for the applicant: phone number or email address,
In the case of submitting the request as an authorized person:
- the patient's authorization, if it is not included in the documentation,
- the name of the Laboratory where the examination was conducted,
- the examination number from which the medical documentation is to be provided.
Type of documentation:
- Examination description,
- CD with image documentation.
The requested medical documentation can be received through the following methods:
- The requested documentation can be sent to the specified address.
- I will collect the requested documentation myself,
- The documentation can be provided to a person authorized by me based on a written authorization containing at least the first name and last name, as well as the ID number of the authorized person.
- The signature of the requesting person – in the case of submitting the request via email, please attach a scanned copy of the request with your signature.
Additional Information Regarding Medical Documentation:
Every healthcare provider is obliged to:
- Maintain and store patient medical records.
- Ensure the protection of data contained in medical records.
- Patient medical records are the property of the healthcare provider.
Medical records can also be provided to:
- Other healthcare providers, if necessary for the continuity of healthcare services.
- Public authorities, the National Health Fund, self-government authorities of medical professions, as well as national and regional consultants, to the extent necessary for the performance of their duties, especially inspections and supervision.
- The Minister of Health, courts, including disciplinary courts, prosecutors, forensic physicians, and professional responsibility ombudsmen, in connection with ongoing proceedings.
- Entities authorized under separate laws and institutions – if the examination for which the documentation pertains was conducted at their request.
- Pension authorities and teams responsible for assessing disability – in connection with proceedings conducted by them.
- Entities managing medical service registries – to the extent necessary for maintaining registries, and insurance companies – with the patient's consent.
- Physicians, nurses, or midwives, in connection with the implementation of the procedure for evaluating healthcare providers based on the provisions on accreditation in healthcare – to the extent necessary to conduct such an evaluation.
- Higher education institutions or research institutes for scientific purposes – without revealing the patient's name and other data enabling the identification of the person to whom the documentation pertains.
Storage of Medical Documentation:
Medical documentation should be stored for 20 years (counted from the end of the calendar year in which the last entry was made). There are exceptions for:
- Medical records in the event of a patient's death due to bodily injury or poisoning, which should be stored for 30 years (counted from the end of the calendar year in which the death occurred).
- X-ray images stored separately from the patient's medical records, which should be stored for 10 years (counted from the end of the calendar year in which the images were taken).
- Referrals for examinations or orders by a physician, which should be stored for 5 years (counted from the end of the calendar year in which the healthcare service referred to in the referral or order was provided).
- Medical records concerning children should be stored until the child reaches the age of 22.
After the specified time, medical records should be destroyed in a way that prevents the identification of the patient to whom they pertained.
Patient's Right to Access Medical Records:
The patient has the right to access medical records related to their health status and provided healthcare services.
According to Article 28 of the Patient Rights and Patient Ombudsman Act, a healthcare provider may charge a fee for providing medical records to the patient. No fees are charged when providing medical records:
To the patient or their legal representative for the first time in the requested scope and manner specified by law.
In connection with proceedings before the regional commission for the assessment of medical events.
Current information regarding the procedures for accessing medical records and the fees for providing documentation in a specified format is available at the Medical Secretariat, phone number: 84 53 59 860.