Trinity Health System has partnered with MediCopy Services for the release of protected health information (PHI), otherwise known as medical records. Your medical record includes, but is not limited to your medical history, diagnosis, treatment as well as lab results and reports from previous testing and procedures. To request a copy of your medical records, you must fill out an authorization. You can complete an authorization by following one of the options below. If the patient is a minor, or unable to sign an authorization, the signature of an authorized legal guardian is required. Once your authorization is submitted, please allow two business days before calling to check status.

For online submission:

Fill out an online authorization by clicking here. Your authorization will open in a separate tab on your internet browser so that you may refer back to this page at any time. Please note that a valid email address is required when submitting an online authorization and to complete the submission process, you must check your email and verify your request for medical records.

To email your request:

Please print an authorization here. Once you have filled out your authorization in its entirety, you may securely email it directly to MediCopy at CHIrequest@medicopy.net.

To mail your request:

Please print an authorization here. Once you have filled out your authorization in its entirety, you may mail it directly to MediCopy at:

MediCopy Services, Inc.

8 City Blvd, Suite 400,

Nashville, TN 37209

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