INTEGRIS Health releases copies of patient records upon request provided we receive a written request or valid authorization signed by the patient or legal representative.
INTEGRIS Health releases copies of patient records upon request provided we receive a written request or valid authorization signed by the patient or legal representative.
This form should be utilized to request copies of your own information or to direct copies of your information be sent to a third party.
This form should be utilized to authorize a third party to obtain copies of your health information upon on the third party’s request.
The “Patient Request for Health Information" or the “Authorization for Release of Health Information” forms may be submitted to INTEGRIS utilizing one of the following methods:
Mail: INTEGRIS HIM Department
3366 NW Expressway, Building D Ste. C20
Oklahoma City, OK 73112
Fax: INTEGRIS HIM Department
405-552-8704- Patient and care providers
405-552-8701- All other requestors
Personal Delivery to any INTEGRIS Health location.
If picking up your requested records, INTEGRIS will validate identity by signature or by one of the following forms of identification:
Acceptable IDs Include:
Personal Representatives should provide documentation to prove legal representation such as:
Medical record copy fees may be applied as below pursuant to federal regulation 45 CFR 164.524(c)(4).
X-rays, photographs, images, or pathology slides are a flat rate of $5.00 each.
Please allow up to 30 days from the date of discharge for record processing before requested copies will be available.
Questions? Please call Health Information Management at 877-778-7211
