How to Request Medical Records
To maintain patient confidentiality and assure compliance with federal and state privacy laws, health information may not be released without a patient’s written authorization (except as permitted by law). Aunt Martha’s partners with Healthport for the release of medical information. The information below describes the process of requesting medical records that you may have at Aunt Martha’s Health & Wellness. The steps involved depend on what records you want provided and/or for whom you want your records provided to.
In most cases, you will need to download and submit the following documents:
Acknowledgement of Medical Record Request Processing Fee / Reconocimiento del cargo por procesamiento de la solicitud de registros médicos
- Acknowledgement of Medical Record Request Processing Fee
- Reconocimiento del cargo por procesamiento de la solicitud de registros médicos
Request and Authorization to Release Health Information / Peticion Y Autorizacion Para Liberacion Y Uso De Informacion Medica