MEDICAL RECORDS REQUEST
Request Your Medical Records
Emerald Document Imaging has been designated as the custodian of your former physician’s medical files. A custodian of records bears the responsibility of safeguarding records for the duration they are required to be protected, according to law.
At Emerald, we prioritize all medical records request in order for you to continue seeking medical treatment. We understand the urgency to expedite your request, which is why we encourage all requestors to submit an electronic records request. You can find the links to the forms below on this page.
3 Simple Steps To Get Your Records
1. Submit the Authorization Form
Click the “Request your Records” below or the “Upload your Form” if you have a prefilled Authorization Form
2. Pay the Processing Fee
After receiving the form, we’ll contact you if there is any fee to be paid.
3. Receive Records Via Mail, Email or Fax
As you fill out the form, select the delivery method of your choice and we’ll gladly send it over.
Request Your Records
Fill our Medical Records Release Form and get started on your request.
Already Have a HIPAA Form Filled In?
No need to fill a new Medical Records Release Form. Click here to upload your prefilled form and get started on your request.
Frequently Asked Questions
How long does it take to receive my medical records?
We prioritize records request as part of our services but please do know that we have up to 10 business days to fulfill a request.
Can I submit a paper medical records release form?
Our mailing address is:
Emerald Document Imaging
3385 Veterans Memorial Highway, Suite B
Ronkonkoma, NY 11779
How will I receive my medical records?
We will deliver your medical record according to the delivery method you selected.
