MEDICAL RECORDS REQUEST FORMS

Patient Instructions for Medical Record Requests

To make our process quicker and easier, National Spine and Pain Centers network outsources our requests for Medical Records to HealthMark Group. HealthMark Group fulfills all patient requests for personal copies at no charge to the patient. By default, your record will be sent to you via email. A hard copy can be sent if requested.

To Request a Copy of your Medical Records:

• Register for an account at https://requestmanager.healthmark-group.com/register
• Once logged in, select “Submit Request” from the menu options and enter all required fields. This will provide authorization to HealthMark.
• Your medical record request will be processed and a notification will be sent via mail or email once complete and available for download.

If you have any questions, please log in to Request Manager for status updates or to chat with support. You may also contact HealthMark at 800-659-4035 or email: status@healthmark-group.com