There are a variety of reasons you might need medical records sent to another provider’s office or organization. We have two methods for sending you your Records. Our Primary Care Providers use HealthMark to send Records, our Behavioral Health providers use Excelsior Wellness to send Records.
FOR OUR PRIMARY CARE PROVIDERS RECORDS REQUESTS |
FOR OUR BEHAVIORAL HEALTH PROVIDERS RECORD REQUESTS |
| Daniel Repsold, MD; Brain Mabry, PA; Donald Condon, MD (retired); |
Stefanie Davis, LMHC; Rachelle Ventura, LMHC; Justin Bayley, ARNP; Diana Thornburg, ARNP; Miranda Hennes, ARNP |
How to Request your Patient Records:Requests may be submitted electronically to HealthMark’s Request Manager at https://requestmanager.healthmark-group.com. Once logged in, select “Submit Request” from the menu options and enter all required fields to provide an authorization directly to HealthMark. Your medical record request will be processed and a notification will be sent via mail or email once complete and available for download. Need More Help?Please log in to Request Manager for status updates or to chat with support. If you have any questions, you may contact HealthMark at 800-659-4035 or status@healthmark-group.com.
|
How to Request your Patient Records:Complete a Records Request form and send it securely by fax or mail. We accept forms through email, but please be advised that unless you can send the document securely from your email provider, the information in the Request may not be secure or private. Requests take 5-7 business days to complete DOWNLOAD THE RECORDS REQUEST FORM
If you are requesting records for another person it may be necessary to have a Release of Information form also filled out and on file. If you need any help please feel free to contact us. DOWNLOAD THE RELEASE OF INFORMATION Mail Your Forms Fax Your Forms Email Your Forms Encrypted Need More Help?Contact us |
Excelsior Family Medicine has partnered with HealthMark Group to ensure the accurate and timely completion of medical record requests for our Primary Care Providers.