Medical Records Request

We’ve partnered with Provider1st to securely deliver medical records and x-ray imaging copies to patients, guardians, and authorized third parties with HIPAA authorization.

Request Records or X-Ray Copies

Three ways to request, with a completed HIPAA Authorization Form.

Online RequestSubmit the online medical-records request form

Email Request[email protected]

Fax RequestFax to 800-818-2114

Questions, or want to check the status of a request? Call Provider1st at 855-514-2378.