REQUESTING PATIENT MEDICAL RECORDS

*PLEASE NOTE*

  • PATIENTS MUST SUBMIT A RELEASE OF INFORMATION FORM TO REQUEST MEDICAL RECORDS
  • IMPORTANT!!! Medical records will be available online only - NOT faxed or mailed. The only items that can be mailed or picked up in the office are Imaging CD discs of X-rays or MRIs.
ATTENTION ALL THIRD PARTIES: The Carrell Clinic online request system is for patients only. If you are a healthcare provider, attorney, insurance company, or other third party, please submit a written request for the patient’s medical records along with a signed patient authorization. You may mail or fax your request to the Carrell Clinic at 214.397.1564. Thank you!
QUESTIONS FOR US? If you still have questions after you read about your three request options below, please . . .
Text or call: (214) 432-3025 Email us: carrellroisupport@abtmedinc.com
MEDICAL RECORDS FEE FOR PATIENTS
**PAYMENT MUST BE MADE IN ADVANCE BEFORE YOUR REQUEST WILL BE PROCESSED**
$25 Request Processing Fee per request + $8 per imaging CD copy (x-ray, MRI)
Fees apply to patients requesting records for themselves or directing records to any third party other than a Healthcare Provider.

**ONCE YOU HAVE REQUESTED YOUR X-RAYs OR MRIs:**

  • You may pick up your requested X-ray/MRI on CD disc by going to the 5th floor of Carrell Clinic
  • - OR -

  • You may have your requested X-ray/MRI mailed to you on CD disc. Please allow an addiFonal 5-7 days for regular mail delivery.

Pick-up Schedule for X-rays/MRIs requests:

        When: Tuesday through Friday, 7am - 5pm
                     (Note: CDs are processed each Monday.)
        Where: 5th floor, Carrell Clinic

**You must pre-pay for your request. Please follow the payment instructions for the option you choose below.**

PLEASE FOLLOW THE INSTRUCTIONS BELOW FOR THE REQUEST METHOD OF YOUR CHOICE:

OPTION 1: PATIENT QUICK RELEASE TO YOU - CLICK HERE! Use your computer or mobile device to submit!

  • Quick turnaround within 48 hours (excluding weekends/holidays).
  • Secure online access to your requested records on any computer or mobile device.
  • X-ray/MRI files are copied to a CD disc. They can be picked up at Carrell Clinic or mailed directly to you!
  • Control of your requested records—view them, save them, print them, and share them quickly and easily with a third party when and how you wish.
  • No worries about whether we received your request or if your faxed request is readable.
  • Text notifications sent to you when your request is “in process” and as soon as it is completed!
  • Easy online pre-pay of request fees (see blue Fee box above).

OPTION 2: PATIENT RELEASE TO 3rd PARTY - CLICK HERE! Use your computer or mobile device to submit!

  • Processed within 5-7 business days.
  • The designated third party will be given access to your requested records through our secure website only. You will not be able to access the records yourself. (X-ray/MRI CD discs will be sent via regular mail to the third party.)
  • No need to worry if we received your request or if your faxed request is readable.
  • You are responsible for providing us with the correct third party contact information and fax.
  • We cannot guarantee that the third party will access your requested records online. You are solely responsible for following up with the third party, if needed.
  • Only the third party will be notified when the records are ready to be accessed.
  • Easy online pre-pay of request fees (see blue Fee box above).

OPTION 3: MANUAL REQUEST

  • Allow up to 10-15 business days for processing (once payment has been received).
  • You may use this option to request records for yourself or to direct records to a third party.
  • You must pre-pay the standard processing fee (see blue box above) for all requests not being directed to a Healthcare Provider.
  • Pre-payment must be received before we can begin processing your request.
  • You may send a check by mail or pay by credit card over the phone. See remittance address and phone # below.

FOLLOW THESE STEPS:

  1. Print the Authorization to Release Information Form. Click here to download the form.
  2. Complete, sign, and date the form.
  3. Send the form to Carrell Clinic by:
    • Fax to Carrell Clinic ROI Department at (214) 397-1564 -OR-
    • Hand Deliver to the Administration Office located on the 4th floor of Tower I -OR-
    • Mail your form to: The Carrell Clinic™
      Attention: ROI Department
      9301 North Central Expressway
      Tower 1, Suite 500
      Dallas, TX 75231
  4. Pay for your Request. You must follow the directions below or your payment will be not be received!
    • PAY BY CHECK TO: ABT Medical, Inc.
      Accounts Receivable
      P.O. Box 204437
      Dallas, TX 75320-4437

      ***Do NOT send or bring your check to Carrell Clinic.***
    • PAY BY PHONE (for faster processing): Call to pay by credit card at (214) 432-3025.

         For greater speed and convenience, please use Option 1 (Quick Release) or Option 2 above.