Medical Records Online Request

Effortless Convenience:
Say goodbye to the hassle of filling out paper forms and waiting in line. Our online request system allows you to initiate the process from the comfort of your home or office, saving you time and effort.

Secure and Confidential:
We prioritize the confidentiality and security of your medical information. Our online platform is designed with robust security measures to protect your data throughout the request and retrieval process.

Swift Turnaround:
Need your records urgently? Our online system expedites the request and retrieval process, ensuring you receive your medical records promptly. No more unnecessary delays or prolonged waiting periods.

User-Friendly Interface:
Our intuitive online interface is designed to be user-friendly, making the request process easy. Whether you’re tech-savvy or not, you’ll find the steps to request your medical records online easy to follow.

Request Your Records Today!
Ready to request your medical records online? Simply click the button below and follow the easy steps to initiate your request. If you have any questions or need assistance, our dedicated support team is ready to help.

Patient Online Access Form
We are committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.

If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.

If you are unable to complete the electronic form above, download and complete the paper form below. The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Please note the processing of records is faster using the online form above.

Records are usually available within 10 days from the time the request is received. If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate that on the authorization form, and ask them to bring their government-issued ID.

Only the patient, parent/legal guardian, or the patient’s legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/Conservatorship.

Request Submission For Third Party Requesters
If you are an attorney, or an insurance company, or if you are requesting the medical records of someone other than yourself and are not the legal guardian, please click on the link below to upload your request along with the patient’s authorization.