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Michigan Orthopaedic Surgeons has partnered with MediCopy Services for the release of protected health information (PHI) in the form of images and reports. Upon receipt of a completed authorization (and request letter when needed), MediCopy will complete the request in 2 business days. 

Please chat with us or call us directly for all medical records status checks at 866-587-6274.

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.


A written request is required to obtain a copy of your medical records or 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 upload, mail or in-person:

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

The .pdf version of the authorization form can be submitted by the following methods:

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