Release of Medical Records

Release of Information

INTEGRIS Health has made accessing health information easier for patients and their representatives by providing several request options below.

Questions?

Please call Health Information Management at 877-778-7211.

INTEGRIS Health & Me Patient Portal

Patients can access most clinical notes and results in this portal. Patients also can share their health information with another person, healthcare provider or third party. Note: account logon or set-up required.

Patient Portal Login

Patient Request Website

Patients and legal representatives can request copies of their health information via our electronic form. Note: Upload of photo ID and legal documents (if applicable) are required. A list of acceptable IDs and required legal representation documentation is below.

Request Records

Mail, Fax or Email

Download a copy of the Patient Request for Health Information form to request copies of your information or direct copies to a third party. You can find more information and download the form below.

In-Person Requests and Records Pick-Up

You may submit your request in person at a designated INTEGRIS Health location. If picking up your requested records, INTEGRIS Health will validate your identity by signature or by one of the following forms of identification listed below.

Find a Location

Request Medical Records

Learn more about the documentation needed to request medical records, download forms and more.

Patient or Patient Representative Request Form

This form should be utilized to request copies of your information or to direct copies of your report to be sent to a third party.

Patient Authorization for Third party

Utilize the Authorization for Release of Health Information form to authorize a third party to obtain copies of your health information.

Identification and Legal Documents

Identification is required to obtain health information. Personal representatives should provide documentation to prove legal representation.

Acceptable IDs include:

Driver’s License
Employment ID
State Issued ID
Current School ID
Military ID
VA ID
Valid, Current Passport

Legal Documentation includes:

Power of Attorney for healthcare
Legal Guardianship papers
Order of legal representation

Mail, Fax and Email

We accept and fulfill requests for medical records via secure email (file size limitations apply.)

Request Medical Records by Mail

INTEGRIS Health HIM Department
3433 NW 56th Street, Building B, Suite C50
Oklahoma City, OK 73112

Request Medical Records Via Fax

405-552-8704 (patient and care providers)

405-552-8701 (all other requestors)

Request Medical Records Via Email

[email protected]

Medical Record Copy Fees

Medical record copy fees my be applied as below pursuant to federal regulation 45 CFR 164.524 (c)(4).

Patient or patient representative requests:
- Electronic Delivery: Flat rate fee of $6.50 if records are in electronic format and delivered on electronic media. In addition, $0.12 per page if any of the records are maintained on paper.
- Paper Delivery: $0.12 per page plus labor cost, shipping supplies, actual postage, and sales tax.
3rd party requests (i.e. attorneys or insurance companies):
- $10.00 flat fee plus $0.30 per page for paper or electronic delivery. Total charges are capped at $200 if the entire request can be reproduced from an electronic health record in the specified format requested and delivered electronically.

X-rays, photographs, images, or pathology slides are a flat rate of $5.00 each.

Additional Forms

Request for Amendment of PHI

Request for Release Restriction

Request for Accounting of Disclosure

Portal Proxy Request for Minor Child

Portal Proxy Request for Adult

Request to Revoke Proxy Access

Opt-Out of INTEGRIS Health Information Exchange

Reproductive Health Records Disclosure Attestation

Attestation for a Requested Use Related to Reproductive Health Care

INTEGRIS Health Community Hospital Records