Step 1: Search for a doctor, clinic, or hospital
To begin creating your medical records request, search here for your doctor, clinic or hospital name, and click the relevant result.
If you already have a PatientBank account, you can create a new request by
- Logging in here,
- selecting on the “Requests” tab, and
- clicking the “New Request” button.
Step 2: Fill out a Patient Access Request
You will then be prompted to enter your Personal Information (i.e., Name, Date of Birth, Contact Information) and specify which records you want returned. We will automatically populate a Patient Access Request form with this information.
Step 3: Sign your request
Review the completed request form, sign electronically, and click “Add Signature.”
To verify your identity, the medical records department will compare this signature to your signature on file at their facility. When signing the request form, please try to replicate your typical signature.
You may find that signing on a smartphone is easier than signing with a mouse or trackpad. We will text you a secure link to sign on your phone if you click: “Having trouble signing? Click here to sign on your phone.”
Step 4: Send your request
The final step is to submit the completed request form to your healthcare provider.
Most providers accept patient requests via fax or email. You can choose to submit your form to the default contact information and click the “Send Request” button. We will automatically send the request via electronic fax or email on your behalf, and you will receive a confirmation email once it has been sent successfully.
In some cases, we may not have a default fax number or email address on file for your provider. You will be prompted to call your provider’s medical records department and ask how to submit a request for your records. Then, you can input either their fax number or email address into the “Custom fax or email” field and send your request.
If we can provide further support, please reach out by email at email@example.com or by phone at (855) 972-8436.