How To Request Medical Records

Ways to Get Your Medical Records

• Free option to send records to a medical office or provider: If you’d like to request that your records be sent to another physician’s office with a known address please fill out the form by clicking the link below. You will also need to send a message to the office manager in Charm to alert them that you have completed the form. Please note it can take up to 14 days for this form to be processed and the records transfer to be completed. 
• Records Release from our clinic: https://hipaa.jotform.com/212334619239052
• Request a personal copy of your medical record. NOT FREE. There is a charge if you want a copy of your records for yourself. If you’d like to request a copy of your own medical record please send a Charm message to our office manager. They will complete an invoice for you. Once the invoice has been paid we will release your records to you.