Instructions for Submitting Requests

---

Welcome! Please Read Below

This ordering site is for use by patients only.

Please read about your two request service options below. You will be asked to select an option on the next screen. NOTE: If you wish to receive BOTH a Secure Imaging Link and an Imaging CD, you must complete two separate Imaging orders through this website - one through the Express Service Option and another through the Standard Service Option.

OPTION #1: EXPRESS SERVICE OPTION
Medical Records and/or Secure Imaging Link

• MEDICAL RECORDS - EXPRESS
  • Processing fee: $25 flat fee per request. There are no refunds for any reason.
  • All available Medical Records (including Imaging Reports) are provided. You will not be asked to specify the types of Medical Records, physicians, or dates of service.
  • Completion Time: Allow up to 24 - 48 hours for your Medical Records request to be completed.
  • You will be texted or emailed when your requested Medical Records are ready to access online (see text samples below).
  • Medical Records will be made available securely online only. We do not fax, email, or mail records.
• SECURE IMAGING LINK - EXPRESS
  • Processing fee: $15 flat fee for a secure link to all available imaging. There are no refunds for any reason.
  • You will be texted or emailed a secure link to your imaging within 48 hours of receipt of your order.
  • You may share the secure link with another healthcare provider to view/download your imaging. You can also select and view your images from your image library and/or download the images yourself.

OPTION #2: STANDARD SERVICE OPTION
Medical Records and/or Imaging CD by Mail

• MEDICAL RECORDS - STANDARD
  • Processing fee: $15 flat fee for the last two years to date.
  • You will receive any/all Medical Records (including Imaging Reports) from the last two years to date. You will not be asked to specify the types of Medical Records, physicians, or dates of service.
  • Completion Time: Allow up to 5 - 10 business days, per state statute, for your Medical Records request to be completed.
  • You will be texted or emailed when your requested Medical Records are ready to access online (see text samples below).
  • Medical Records will be made available securely online only. We do not fax, email, or mail records.
• IMAGING CD BY MAIL ONLY - STANDARD
  • Processing fee: $25 per requested CD copy plus a $15 packaging and shipping fee for all available imaging.
  • Your CD will be prepared and mailed to you (no CD pick-up available).
  • Allow up to 15 business days, per state statute, for CD preparation plus US Postal Service mail delivery time to receive your CD at your home address.
  • NOTE: Imaging CDs can only be mailed to your home address.
  • CD pick-up is not available.
  • You will be texted or emailed when your Imaging CD has been mailed. Delivery time required by the US Postal Service varies and is not the responsibility of Newport Orthopedic Institute.

Who Can Order Patient Records Online?

Only patients, or those individuals with the documented legal authority to make healthcare/medical treatment decisions for the patient, can use this ordering site to request medical records and/or Imaging CDs, as described below:

• Patients who have reached the age of majority: 18 years of age or older (NOTE: A parent may not request records on behalf of an adult child, regardless of insurance coverage, residence, etc.).
• Parents/guardians who have the legal authority to access a minor child's records.
• A person who has the documented legal authority to make healthcare/medical treatment decisions for a patient of any age (healthcare conservator, medical/healthcare POA, legal guardian, executor/administrator of estate).

What You Need to Get Started

1. The patient's valid driver's license or other valid government-issued ID.
2. If you are the parent/guardian of a minor patient or have the legal authority to make healthcare/medical treatment decisions for a patient of any age, you will need to upload your valid ID as well.
3. A credit card to make payment, if applicable.
4. If you have the documented legal authority to make healthcare/medical treatment decisions for a patient, you must also upload official, currently valid documentation of this authority (Durable POA for Healthcare, Medical POA, Advanced Directive for patient and designated caregiver; Death Certificate for deceased patient). NOTE: Financial POA is not sufficient. If you cannot provide both your and the patient's ID as well as documented proof of your legal right to make healthcare/medical treatment decisions for the patient, the patient must place his or her own request.

Please have these items handy before you start!

---