MEDICAL RECORD REQUESTS. 20.4.1 The Contractor shall ensure a copy of the Member’s Medical Record is made available, without charge, upon the written request of the Member or Authorized Representative within fourteen (14) Calendar Days of the receipt of the written request.
MEDICAL RECORD REQUESTS. 33.3.1 The Contractor shall require that the Network Providers agree that a copy of each Enrollee’s Medical Record, in hard copy or electronic format, be made available, without charge, upon the written request of the Enrollee or Authorized Representative within fourteen (14) Calendar Days of the receipt of the written request.
MEDICAL RECORD REQUESTS. Patients wishing to disclose and/or request a transfer of their medical information to a third party or this facility are required to complete the Authorization to Release/Request Your Protected Health Information form, which can also be found on the Sugarloaf Medical website ( xxx.xxxxxxxxxxxxxxxx.xxx/xxxxx ). During onboarding and on a routine basis prior to office visits, patients are responsible for providing medical records from outside healthcare providers or for providing a completed and signed authorization form for Sugarloaf Medical to request medical records on the patient’s behalf. For example, patients may develop medical records from specialists or hospitals, and diagnostic test results from outside facilities and would provide a copy of those records or provide a signed consent form for Sugarloaf Medical to submit to those listed outside healthcare providers.
