Looking to obtain a copy of your medical records?

Paper Copy of Medical Records:

Please complete the following steps to obtain a paper copy of your medical records:

  1. Print and complete the Medical Records Release Form.
  2. Complete, sign and date the form. In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver’s license, military I.D. or state I.D.).
  3. Mail, fax or personally deliver your paperwork to the facility where you were treated.
  • Phone: (888) 616-5721 (Option 6)
  • Fax: (855) 668-0697
  • Records delivered by mail will be shipped within 5-7 Business days after processing.
  • Records delivered by email will be received within 1-2 Business days after processing

For Questions Regarding Obtaining Medical Record Copies, Or To Obtain the Status Of Your Request:

Records will be shipped within 5-7 Business days. Should you need to check the status of your request, please call (888) 616-5721 (Option 6)



Download Forms


Medical Records Release

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Urgent Requests, Records for your Physician

For immediate continuity of care, your healthcare provider can request records.

The physician office must fax a written request on their letterhead to (855) 668-0697 indicating the patient's name, date of birth, date of visit in the facility, facility Name and place "STAT" at the top of their request. For assistance call (888) 616-5721 (Option 1).


Insurance, Attorney, Disability and Third Party Requests

Requests should be sent from your insurance company, attorney, or Disability Determination Service can be faxed to (833) 462-1884 or mailed to the facility where the patient was treated.