Office & Appointments — Release of Information
Download a copy of the Release of Information form here.
Releases of Medical Records information is governed by the Health Insurance Portability and Accountability Act (HIPAA). To release a copy of your Medical Records to yourself or another clinic, a Release of Information must be completed. A Release of Information is also required if you would like a copy of your Medical Records sent to Women's Health Consultants from another clinic.
Download a copy of the Release of Information form. You may also use a Release of Information form from another clinic provided that it is HIPAA compliant. Please send your completed Release of Information form to Women's Health Consultants by US mail or FAX. Release of Information forms may also be given to the receptionist at either of our clinic locations.
To be valid, Releases of Information must be filled out to the best of your ability and be signed and dated. Please allow 7-10 business days for your records to reach their destination. Records will be mailed unless it is stated explicitly on the Release of Information that they should be faxed. Records are copied on Wednesdays by an outside copy service (Copy Information Specialists). If a processing fee is required, you will be notified.
In order for Women's Health Consultants to receive your records promptly from another clinic, please send the completed Release of Information directly to that clinic. Please have your records sent to Women's Health Consultants 1-2 business days before your appointment so that they can be reviewed. Again, please note that there is usually a 7-10 business-day processing time for Women's Health Consultants to receive your records.