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 866-461-8271.
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 866-461-8271.
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Other Requestors Third Party Requests for Medical Records

Other Requestors Third Party Requests for Medical Records
Other Requestors Third Party Requests for Medical Records

Other Requestors Third Party Requests for Medical Records

How To Submit A Request For Medical Records

Submit your completed authorization, subpoena or court order using one of the below methods.

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.