Requesting records is fast and easy
Downloadable medical authorization forms
Use these forms to grant access to protected health information (PHI) or to request changes to health records.
HIPAA ROI form
Please complete this form to authorize the release of medical records if:
- You’re requesting your own records or those of someone you represent
- You want records released to someone not directly involved in your care, payment or health care operations.
Release medical records form
Complete this form to authorize the release of your medical records or those of someone you represent.
PHI amendment form
Complete this form to request a correction or amendment to your medical records. Patients only.