To request a copy of your medical record, please complete the Authorization of Use or Disclosure of Information form and call 205-545-4420. To request a copy of your medical record, please complete ...

Patients can request their records through MyChart. Login to MyChart. Select "Health". Select "Medical Records Request Form". A person requesting medical records must submit a written consent with the ...

Request a copy of your medical record. You can also identify another person or entity that you authorize us to share your medical record. Submit a Patient Authorization for Disclosure of Health ...

Once the form is received, the requested section(s ... All students may receive one copy of their medical record at no cost. However, if you request additional copies, there will be a $25 fee. If you ...

After request is submitted, please allow 2-3 weeks for processing. If you are an outside entity, or unable to log-in to myhealthconnect.case.edu please complete the medical record request form and ...