CHI has partnered with MediCopy Services for the release of protected health information (PHI), otherwise known as medical records. Your medical record includes, but is not limited to your medical history, diagnosis, treatment as well as lab results and reports from previous testing and procedures.
To request a copy of your medical records, you must fill out an authorization. You can complete an authorization 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 authorization is submitted, please allow two business days before calling to check status.
For online submission:
Fill out an online authorization by clicking here. Your authorization 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 authorization and to complete the submission process, you must check your email and verify your request for medical records.
To download the medical records authorization click here.
To download the behavioral health authorization click here.
To email your request:
Please print an authorization here. Once you have filled out your authorization in its entirety, you may securely email it directly to MediCopy at med_chirequest@mrocorp.com.
To mail your request:
Please print an authorization here. Once you have filled out your authorization in its entirety, you may mail it directly to MediCopy at:
MediCopy Services, Inc.
8 City Blvd., Suite 400
Nashville, TN 37209
Once your request for records has been submitted:
After MediCopy receives your completed authorization, it will be completed in two business days. Please note that if your 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!