Hand & Microsurgery Associates: Medical Record Request Forms
To request information from Hand and Microsurgery Associates:
- Complete all fields on the authorization form when requesting the release of your records.
- After the form is signed and dated, fax the request to 614-262-0822 or you can email your request to: firstname.lastname@example.org
- To check the status of the medical records request, please call (614) 262-4263 and ask for the medical records department.
* Typical processing time for medical records request is 30 days for onsite records and 60 days for offsite records.
To request information from other healthcare facilities:
To give Hand and Microsurgery Associates access to outside medical records, you will need to authorize release from your current medical provider(s). Please complete the form and send it to your current provider for processing.
To request radiology or MRI images:
* Charges are applied for CD copies if the request is in addition to what is authorized by our physicians, such as second opinions and personal use.