Third Party EHI Request

Information for Patients

Patients and their legal representatives should complete the Patient Request for Health Information Form found at integrisok.com/patient-information/release-medical-records)

3rd Party Request to Access, Use, or Exchange Electronic Health Information (EHI)

(Not for Patient Use. Patients and their legal representatives should complete the Patient Request for Health Information Form found at integrisok.com/patient-information/release-medical-records).

Questions? Call 866-609-4357. For patients 877-778-7211.

Third Party Interoperability Request

* Required fields

Requester Information