For Attorneys and Legal Representatives
Please complete the form below to request medical records on behalf of your client. All submissions are processed securely and in accordance with HIPAA guidelines. Ensure all required fields are filled out accurately, and upload the necessary authorization or subpoena for timely processing.
Legal Records Request for Attorneys
We provide Independent Medical Exams (IMEs), detailed injury documentation, EMC (Emergency Medical Condition) diagnosis for PIP claims, and work on Letters of Protection (LOPs) or medical liens. Our team delivers timely, attorney-ready medical reports for personal injury cases, ensuring you have the documentation needed for insurance and legal claims.
To help us process your request without delays, please fill in all required information, including your firm or attorney name, contact details, and the patient's full name and date of birth. Indicate the approximate date of service and specify which records are needed—whether the full chart, imaging only, or billing only—using the dropdown provided. Additionally, upload a secure file containing the signed authorization or subpoena relevant to the case.
Before submitting, you must confirm that you are legally authorized to request the patient's medical records. By checking the HIPAA acknowledgement box, you affirm that you understand no Protected Health Information (PHI) will be transmitted through unsecured email and that your request complies with all applicable privacy laws.
We value the sensitivity of medical data and take every measure to protect the confidentiality and security of the information being requested. Our team is here to support legal professionals in obtaining timely and accurate records while upholding the highest standards of patient privacy.
