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Request for Patient Records

Copies of your records will be provided upon request to you, physicians, attorneys, legal representative or agents, or insurance carriers for a pre-paid fee.

STEP 1: Complete the online form and submit it electronically.
STEP 2: OA will call you with the fee amount due for the records requested.
STEP 3: Mail your fee payment to Orthopaedic Associates.
STEP 4: Once your payment is received at OA, the records requested will be mailed within 10 working days.

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Records

OR

Request Records from a Specific Date Range:

From Date:
To Date:

Recipient
(555-123-4567)
(555-123-4567)