Requesting Patient Medical Records

*PLEASE NOTE*  YOU MUST COMPLETE A RELEASE OF INFORMATION FORM TO RECEIVE YOUR MEDICAL RECORDS.


The Carrell Clinic partners with ABT Medical to process all release of information requests.

Anyone requesting a medical record must fill out an Authorization to Release information. Please read the information below carefully and follow the steps listed.

If you have any questions please feel free to contact ABT Medical at:   carrellroisupport@abtmedinc.com.

 

Request Processing Fee for Patients: $25 processing fee +$8 for each xray copy you request

For your safety and convenience:  Completed requests will be available online and secure.  CD's will be mailed to your home address.

 
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OPTION 1 - QUICK RELEASE TO YOU
(48 Hour Turnaround)

  • To get your own requested medical records online within the next 48 hours (excluding weekends/holidays), click here.
  • You will be asked to PRE-PAY the standard processing fee listed in the blue box above.

 

OPTION 2 - SEND TO 3RD PARTY
(7 to 10 Day Turnaround)
  • To release your requested medical records to a Third Party, please follow the steps below.
  • Allow 7-10 days for completion (excluding weekends/holidays).
  • You will be asked to pay the standard processing fee listed in the blue box above. The Third Party will not be able to access your records online and/or CDs
    will not be mailed until we have received your payment.
  1. Print the Authorization to Release Information Form.

    Right-click to download

  2. Complete, Sign and Date Form.

  3. Return form to the Carrell Clinic™ by:

    • Fax to CC ROI Department at (214) 397-1564
      -or-
    • Hand Deliver to the Administration Office located on the 4th floor of Tower I
      -or-
    • Mail to The Carrell Clinic™
      Attention: ROI Department
      9301 North Central Expressway
      Tower 1, Suite 500
      Dallas, TX 75231
  4. Carrell Clinic™ will process your request and contact you.

    Please allow up to 30 Business Days to complete your request. Once the completed release form is received in the ROI Department, your request will be processed and you will be notified.