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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your personal information at the top of the form, including your name, birth date, and phone number. Ensure all details are accurate to avoid any delays.
  3. In the 'From Whom' section, specify the clinic or physician from whom you are requesting records. This is crucial for directing your request appropriately.
  4. Next, choose whether you want the records sent to an individual or agency by filling in their name and address in the 'To Whom/Inspect' section.
  5. Indicate what information you wish to be released by checking the relevant boxes under 'Information to be released.' Be specific about dates of treatment and types of documents needed.
  6. Select the purpose for which you need these records from the options provided. This helps clarify your request.
  7. Finally, sign and date the form at the bottom. If applicable, include your relationship to the patient if you're signing on their behalf.

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You can access your medical information using our patient portal, MyChart. Your MyChart account provides you a wide range of tools and information that help you access and manage your records. If you cant find what youre looking for, you can submit a request for records via MyChart.
To obtain a copy of your hospital records you will need to apply in writing to the hospitals records manager at the hospital where you received your treatment.
Transcripts. Transcripts sent using the EDI (electronic data interchange) format must be sent through the SPEEDE server. We accept secure PDFs sent directly to transcripts@llu.edu through transcript services. If the PDF has restrictions on printing, viewing, saving or archiving, it will not be accepted.

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Check their website: Information about how to get your health record may be found under the Contact Us section of a providers website. It may direct you to an online portal, a phone number, an email address, or a form. Phone or visit: You can also call or visit your provider and ask them how to get your health record.

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