Patient Requests Please complete the following steps: To request a copy of your medical records through the online portal, click on the link below and follow the prompts for online medical record request submission. The link below will take you to an online health information request portal on a new screen. If you have questions about the Medical Records request process, please contact (844) 481-0278. Online Medical Record Request Portal Download, print and complete the authorization form. The authorization form must be signed and dated. Authorization for Release of Medical Information Autorización para la divulgación de información médica In order to verify your identification and validate your authorization, we require a legible copy of a valid photo I.D. (e.g., driver’s license, military I.D. or state I.D.). You may send your request in the following ways: Fax: 844-481-0298 Email Requests Mail: PO Box 290789 Nashville, TN 37229-0789 Records delivered by mail will be shipped within 5-7 Business days after processing. Records delivered by email will be received within 1-2 Business days after processing. For questions regarding medical records, or to obtain the status of your request call us at (844) 481-0278. Urgent requests, records for your physician For immediate continuity of care, your healthcare provider can request records. The physician office must fax a written request on their letterhead to (678) 325-0357 indicating the patient's name, date of birth, date of visit, and the name of the facility where you were treated. Please indicate "STAT" in the upper right corner for all urgent requests. For assistance, call (877) 302-7338. Non-Patient Requests (Insurance, Attorney, Disability and Third Party Requests) Requests should be sent from your insurance company, attorney, or Disability Determination Service and be mailed to the address below. For assistance, call (877) 302-7338. Mail request to: Richmond SSC PO Box 291569 Nashville, TN 37229-1569