Submit a Request for Health Information Online

Please choose one of the following options:

I am the Patient

I am the Patient's Representative

I am an Attorney


When submitting a request online, please complete all required fields. You will need to upload a copy of your government issued photo ID.

Requests will be processed within five to ten business days of receipt. Requests are fulfilled by our medical records partner, Verisma.

Questions about online records requests?

Call 866.278.1770 or email LifepointCS@Verisma.com