Requesting Medical Records from SMPC
To obtain records, submit a signed and dated Authorization for Use or Disclosure of Protected Health Information to the clinic. The form may be obtained at the clinic, or you can follow the link below to submit an online authorization form via MediCopy’s website (preferred and fastest way):
Submit Your Medical Records Request with MediCopy
Your request is processed by MediCopy, our HIPAA Business Associate.
Some requests are processed at no charge to the requesting party (such as referrals for continuing care). Other requests are charged a fee, in accordance with state statutes. MediCopy bills requesting entities such as attorneys, insurance companies, etc. directly; patients are not billed for this work.
MediCopy processes the requests for the requested records. Please allow 7 business days after your forms have been accepted by SMPC for processing and delivery of the invoice.
Need help navigating MediCopy?
- Click on the upper right-hand corner (blue oval) “Request Records”. Click “Patient Records”.
- Scroll to Step 1 Option 1 and click the link for the online authorization form.
- Enter your email and click the “Verify Your Email” blue button.
- Check your inbox for the email from MediCopy.
- Open it and click “Review Document”.
- Fill out the form, click Next, then Submit.
After submitting your request, if you have any further questions, reach out to MediCopy at 866-587-6274. Their website also has a live chat option in the lower right corner.
Sending Records to SMPC
New and returning patients often need to have certain medical records sent to SMPC to assist in their diagnosis and treatment. If you need your current (or previous) provider to send your records to SMPC, a request form may be obtained at the clinic, or through the link below:
Release of Info/HIPAA Form TO Southern Michigan Pain Consultants