Form Completion Medical Records
Forté Sports Medicine and Orthopedics has partnered with MediCopy Services for the completion of disability/FMLA paperwork and for the release of medical records. Below you will find two sections, "Steps to Request Disability/FMLA Form Completion" and "Steps to Request Medical Records," each containing specific instructions based on your needs. If you have questions about the process, either text by clicking the bubble found on the bottom right of your webpage or give us a call.
Steps to Submit Disability/FMLA Forms for Completion
1. Submit an intake request and forms
Option 1: Click here to submit forms electronically
Option 2: If unable to submit via option 1, download PDF intake form and submit with your blank disability/FMLA forms via the options below:
Fax: 888-496-9856
Mail: MediCopy Attn: Form Completion Dept. 8 City Blvd. Suite 400, Nashville, TN 37209
In-Person: Drop the blank Disability or FMLA form off at your doctor's office
2. MediCopy will send you an invoice to be paid before the form(s) is completed.
Form completion charged at a rate of $45 for the first form and $15 for each additional form turned in at the same time. The form not completed until paid. To quickly receive your invoice, please include email address with submitted form(s).
3. Once payment is received, MediCopy will complete your form(s) within three business days.
4. Upon completion, forms will be sent to the designated requesting party.
You may also request a copy of the completed form to be emailed to you as well. Please note on your form(s) or intake that would like and provide valid email address.
Forté Sports Medicine and Orthopedics has partnered with MediCopy Services for the release of protected health information (PHI), otherwise known as medical records. Please forward requests directly to MediCopy for processing. After MediCopy receives a completed authorization (and request letter when needed), it will be completed in 2 business days. Please see below for methods to request records:
Steps to Request Medical Records
Non-Patient Requestors:
In order to request medical records please visit MediCopy.net/thirdparty.
Patients:
To request a copy of your medical records please complete a request form by following one of the options below. If the patient is a minor, or unable to sign an authorization, the signature of an authorized legal guardian is required. Once your request is submitted, please allow two business days before calling to check status.
Option 1: Submit online.
Fill out an online request by clicking here. The request form will open in your internet browser. If you need to refer back to this page please right-click to open in a separate tab. Please note that a valid email address is required when submitting an online request and to complete the submission process, you must check your email and verify your request for medical records.
Option 2: Email your request.
Please download the request form here. Once you have filled out your request in its entirety, you may securely email it directly to MediCopy at forteorthoroi@mrocorp.com.
Option 3: Fax your request.
Please download the request form here. Once you have filled out your request in its entirety, you may securely fax it directly to MediCopy at 888-821-5734.
Option 3: Mail your request.
Please print a request form here. Once you have filled out your request in its entirety, you may mail it directly to MediCopy at:
MediCopy Services, Inc.
8 City Blvd., Suite 400
Nashville, TN 37209
Please note that if records are being mailed, it may take a few additional days for them to arrive. If you have requested to have your records emailed to yourself or another entity, the provided email address will receive a secure, password-protected link to your records. For security purposes, this link will expire, so please be sure to check your email regularly, and always check your spam folder!