Horizon Healthcare RCM Breach – Our former vendor Horizon Healthcare RCM was impacted by a security incident which affected certain individuals’ personal information. For further information please call the toll-free assistance line at 219-757-6115.
Horizon Healthcare RCM Breach
Our former vendor Horizon Healthcare RCM was impacted by a security incident which affected certain individuals’ personal information. For further information please call the toll-free assistance line at 219-757-6115.
Find A Provider Find A Location Conditions & Services Patient Resources

Provider Requests for Medical Records

Provider Requests for Medical Records
Find instructions for healthcare providers seeking to request Medical Records.
Provider Requests for Medical Records

Find instructions for healthcare providers seeking to request Medical Records.

Provider Requests for Medical Records

Letterhead Requests

Submit a request for medical records on your letterhead using one of the below methods. Your request must identify the location you're requesting records from. The fax number and email address shown below are for submission of requests for records and imaging only. Do not send orders, medical records or other documents to these or they will be returned to you.

Authorization Form

If you prefer to use an authorization form to request medical records, please complete and submit the Release of Information to Third Party Authorization Form.

Release of Information to Third Party Authorization Form

Contact Us

If you have questions related to requesting your medical records, please contact us at 317-528-2700.