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 or fax your paperwork to the mailing address or fax number below.
  • Phone: (866) 270-2311
  • Fax: (855) 901-6104
  • 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 (866) 270-2311

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 (877) 865-9738 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 (866) 270-2311.


Insurance, attorney, disability and third party requests

Requests should be sent from your insurance company, attorney, or Disability Determination Service can be faxed to (855) 901-6104 or mailed to the facility where the patient was treated.