Medical Records Request
Who Can Request Records?
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Patients or their legal representatives
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Other healthcare providers
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Insurance companies
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Legal or government entities (with proper authorization)
Medical records requests must be processed in a HIPAA-compliant manner to protect patient privacy while fulfilling legitimate requests from patients, healthcare providers, insurance companies, and legal entities.
**To protect patient confidentiality, additional verification may be required before records can be released.
How to Submit a Request
Acceptable formats:
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Fax
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323-927-0408
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Email
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Secure electronic portal
Required information in the request:
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Patient's full name and date of birth
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Specific records requested (dates of service, type of records)
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Purpose of request
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Name and contact information of the person or organization receiving the records
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Signed HIPAA-compliant authorization form (release of information)
Need Help?
If you have questions about requesting medical records or completing a Release of Information form, please contact our office.
Find Your Balance Center for Growth & Change
Phone: (818) 927-0478
Fax: (323) 927-0408
Email: medicalrecords@findyourbalancecenter.com