The purpose of Release of Information is to provide copies of patient records to various requester (i.e. patients, attorneys, insurance companies, etc.) for varied reasons.
When writing to obtain copies of records, please provide us with the following information:
Please understand that requests that are sent electronically will still require a signature in order to honor the request.
The Release of Information will not provide records without a written request by the patient, the parent of a minor patient, or a legal representative. After the request is received, the HIM clerk will contact you and validate your request. Questions on this process can be directed to email@example.comSigned PDF forms can be faxed to 844-315-6521.
for a PDF copy of the Authorization to Release Medical Records.