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Are you a patient looking for copies of your medical records?

The best place to get information about your own personal health records is through your primary care or specialist physician. Please contact your doctor for copies of your medical records or test results.

Due to the sensitivity of confidential and protected health information, we are unable to respond to inquiries from individual patients submitted directly to our website. If you need assistance, please contact us toll-free at 1-877-344-8999, and select option 1. A Customer Service Specialist is available to answer all inquiries and any other requests.

Patient authorization

This medical record information release (HIPAA) form allows patients to give authorization to a third party to access their health records and allows your healthcare provider to share your health information.

Important: Some healthcare systems have customized forms that are not listed on this page. If you have questions about a form, call your doctor’s office.

Clinical trials

This clinical trial release form allows patients to give authorization to a third party to access their health records and allows your healthcare provider to share your health information.

Clinical trials / right to access patient authorization form

HIPAA Form H004-2023
Patient authorization for release of medical records for patient right to access.

Complete the clinical trials/right to access patient authorization form

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