Forms

Record Deposition & Authorization Forms

Form Resources

Select the type of information you need from the options below, and fill out the information in the pop-up to access the forms. You will only need to complete the pop-up form once to access all forms.

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Government, Military, Veteran, Education or Tax Records

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Communication Records (Cellular, Telephone, Email, etc.)

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PHI from a Hospital or Healthcare Provider- Including Mental Health

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PHI from Insurance Provider

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PHI from Pharmacy

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Record Request Form & General Authorizations

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All records we receive are checked for accuracy and distributed within 24 hours of receipt. Please note, for scanning, document archiving and indexing projects the turnaround times are longer. Completed records are uploaded to a secure online repository where you’re able to access them in real time.

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