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Your imaging center has partnered with MediCopy Services for the release of protected health information (PHI) in the form of images and reports. Reports and images can be requested as shown below. Upon receipt of a completed authorization (and request letter when needed), MediCopy will complete the request in 2 business days. 

Non-Patient Requestors

Request Online:

  • Please click here to submit a request and HIPAA compliant patient authorization to MediCopy. 
    • Include your contact information, the patient information, where the records are going, and what records are to be sent in the request letter.

Request via email:

  • Email a PDF version of the request for records named after the patient (FIRST LAST) and a signed HIPAA compliant patient authorization to oia@medicopy.net
    • Include your contact information, the patient information, where the records are going, and what records are to be sent in the request letter. 

Patients:

A written request is required to obtain a copy of your images and corresponding reports. 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 the status.  

Request Online:

  • Please click here to request online. A valid email address is required and a verification process must be completed to submit the request. 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. 

Request via email, fax or mail:

  • Please click here to download the request form. Complete the entire form and include a physical signature.

Email the form directly to MediCopy at oia@medicopy.net

If you have requested to have your images and/or reports emailed to yourself or another entity, the provided email address will receive a secure, password-protected link. For security purposes, this link will expire, so please be sure to check your email regularly, and always check your spam folder!

Fax: 833-728-0409

Mail: MediCopy Services, Inc. 8 City Blvd., Suite 400 Nashville, TN 37209 

Please note that if disks are being mailed, it may take a few additional days for them to arrive.