You may request a copy of your medical records. Prior to receiving your copies, a standard “Release of Information Consent” form must be completed and returned. A fee may be assessed for locating and copying your record and fees are determined by delivery method selected (email, mail, or fax).
PATIENT REQUEST FORM
Exclusively for patients requesting their medical records
REQUESTER SUBMISSION PORTAL
For healthcare providers, attorneys, or anyone requesting the medical records of someone other than yourself and are not the legal guardian
PLEASE DO NOT SHARE PERSONAL HEALTH INFORMATION (PHI).
If you have a question related to a patient, please contact the provider’s office directly. CLICK HERE to link to our clinic locations for direct phone numbers.
If you have a general question that does not relate to Medical Records, please email: firstname.lastname@example.org
OPTIM ORTHOPEDICS WEBSITE
Optim Orthopedics is an independent practice that is part of a collaborative partnership within the Optim Health System network: www.optimorthopedics.com