06-08-2016 Freedom of Info Request-Monique Hodge CHI CreightonTRANSMITTAL COVER 811LLT
DATE: 6/8/20:16
'FO: BLAIR EMS
From: Monique Hodge C11I Creighton
I'AX # 402-4264195
Pees: 2
Re: EMS Record requests
FROM: Monique Hodge
Trauma Registery Level I
CHI Health Creighton University Medical Center
r'hone :X102-4 9-5052
Fax: 402-449-4277
manique.hodge@alegent.orq
CHlhealth.com
S•
M.,
Y'
Health.,
. ii.ti_ i h
XM0+1n WetwhYTNV[!#+k,
�z
CHI Health
lrna. ine better heolth."'
W'YLPMVJ
�/Y1S
'Reliability Disclaimer; `these records have been sent by facsimile owistnimion at the request of, for the conveniancu of, and under the solar
responsibility of the recipient. Hecause of possible tranrmisnion errors or illegibility, medical records seat by facsimile should not bu
exclusively relied upon for medical ditgnuyi>: or treatment.
CoAdentiallty Warning: The information cuntnined in thin f esimile messRyp Kprivileged And cx ntidantlai infornmlian intended only for
the review and asa of the individual or entity named above. If the reader of this message is not lite intended recipieul, you are hereby
notified that any diSQIOSUTe, dissemination, distribution or copying of this communication contained herein is striuly pc•ohihited. if ypu hlvi?
received this communication in error, please immediately notify us by telephone, and retutit the original inmage lu u4 at the above uddra ss.
If yon experience any problems witit this Fax, please call the Trattina Yrogrom Aclmiaistrative Of wes at (402) 449-5555.
2/T:aGecd
Z2_2t7-6"-2017:w0JJ 62:20 9TO2-80-Nflf
nr CHI Health
1074agi a better lw ahh."
To Whom This May Concern,
Hello, my name is Molliquc R. Jiodge from Ck11- Creighton level 1 Trauma Facility in
Omaha, NE. I am one of two Trauma Registrars. I am writing you to .request a complete EMS
rectlyd for the following patients serviced on 04/12 and 4/25/2016. The in formation is
provided below;
Please feel free to e-mail or fax this information, 'l.'he fax line is a secure line directly to rne. If
you have any questions please feel free to contact me at the n.U.ruber provided below. My
office hours are from $:30am to21am, M -T. Friday hours are &tm-12pm. Thanks for all you
dot
Sincerely,
Monique Hodge
Trauma Aegistery level 1
CHI Health Creighton University Medical Center
Phone : 402-449-5052
Fax, 402-449-4277
monique.hodgp alegent.org
CHlhealth.com
ml Health
imagine better health,'
Reliability Disclaimer; These records have been sent by facshnilc transmission at the request of, for thu wnvenience of kind under the snla
responsiWity of the recipient, Because of possible itausmission erturs or ill ebrihility, medical rcenrd, scn(by facsimile should nut In:
exclusively relied upon for utedicu) diagnosis or treatment.
Covtliderttiality Warning: The information contained in this facsimile mrssege is I)dvilogW turd cvnlidtmIh l inlurination intended only for
the rcvicW and use of the individual nr entity named abs>ve• if the.. rmdet of this message is not the intended recipient, you are hereby
notified thut any disclosure, dissemination, distribution or copying of this comnutnication contained herein is strictly Prohibited. If you have
received this ooinmunication in error, please immediately notify us by telephone, and return the original Message to us at the above addreati_
if you expelleaee any ptxrhtems with this irnx, picase call the,rrmima Program Administrative dfY"ices at (402) 449-5555.
d/8:abed Z16b-6"-2Ot7;WO JJ ot7:ZO 9TO2-80-Nnf