At Arboretum Obstetrics and Gynecology our staff is happy to coordinate and process any medical record request and short term disability claims that our physicians determine are appropriate. Once an Arboretum Obstetrics and Gynecology physician has approved your request, a medical records release or disability claim form must be completed. Our practice is happy to provide you with a medical record release via our website or in our office. All disability claim forms must be provided by your employer or the requesting entity. All disability forms and medical record requests will be completed in two business days of the initial request. In addition, due to the increase in disability and medical record requests, we have implemented the following financial policies:
Medical Record Release to another physician office- No cost
Medical Record Release to patient- Pages 1-4, $2/page, Pages 5+ $10 per chart
Medical Record Release to insurance company- $35
Medical Record Release to attorneys- $10
Disability Form- $10 per completed form
Please feel free to call our office at (704) 341-1103 and speak with our medical records personnel. We look forward to assisting you with your medical records needs!
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Please take the time to complete our Medical Records Policy Form below.This form is secure and all information is encrypted to protect your personal information.