Step 1 – Print the ENTERHEALTH MEDICAL RECORDS REQUEST CONSENT & AUTHORIZATION FORM
Step 2 – Fill out the form completely. Be sure to sign and date it at the bottom.
Step 3 – Scan and email the completed form to firstname.lastname@example.org with the subject line: Medical Records Request
Step 4 – A member of our administrative team will contact you to confirm the information on the form, as well as to collect any applicable payment(s).