Medical Records Request
Online Patient
Request Tool
Release of Health Information
Pinnacle Orthopaedics has partnered with Sharecare to fulfill your requests for records.
Pinnacle Orthopaedics is committed to protecting your medical information. Your medical record is private and confidential and we protect it under all HIPAA laws. We will routinely forward your medical information to your referring physician. In instances of work-related injuries, records of your visit to Pinnacle will be forwarded to your workers' compensation insurance carrier. If you would like your medical records sent to anyone else, please be sure that you have signed an authorization form. For more information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.
There is a $25 charge for all Disability and FMLA forms. Please allow 7-10 business days for completion.
If you are our patient and
would like to request your medical records, please click on the link below to
complete your request
for medical records.
You will be required
to provide a valid email
address and a government-issued ID.
If you are unable to complete the electronic form above, download and complete the paper form below. The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Please note the processing of records is faster using the online form above.
Records are
usually available within 10 days from the time the request is received. If you
are picking up your medical records in person, please be sure to bring a
government-issued ID. To arrange for another individual to pick up the documents for you, please
indicate that on the authorization form, and ask them
to bring their government-issued ID.
Request Records on a Patient's Behalf
Only the patient, parent/legal guardian, or the patient's legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient's representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/ Conservatorship.
Authorization to Disclose Protected Health Information
Request Submission for Third Party
Requesters
If you are an attorney, insurance
company, or any other entity
requesting records from our
facility, please click on the link below to upload your request along with the
patient's authorization.
Request Medical Records as a Third Party
Frequently Asked Questions
When will my online medical record request be ready?
- Your records will be ready in 3-5 business days from the receipt of your electronic request.
How do I check the status of my request?
How do I pay for my records and/or radiology images?
How do I contact Customer Service?
- Call: 858-244-1811
- Contact support for live chat: https://hds.sharecare.com/contact-us/