Release of Health Information
Helios Specialty Healthcare has partnered with Sharecare to fulfill your record requests.
Helios Specialty Healthcare is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.
Patient Request for Medical Records
If you are our patient and would like to request your medical records, please click the link below to submit your request. You will be required to provide a valid email address and a government-issued ID.
Only the patient, the patient’s parent or legal guardian or the patient’s legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/Conservatorship.
Patient Authorization Form for Third-Party
Third-Party Request for Medical Records
If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.
Click here to submit a request for medical records.
Patient Request for FMLA/Disability
If you are a patient and need an FMLA or Disability form completed, please click the link below to upload your blank form. Once you have submitted your form, Sharecare will contact you within 48 hours to collect payment for processing.
Click here to submit a request for medical records.
FAQ
When will my online medical record request be ready?
Your records will be ready within 3-5 business days of receipt of your electronic request.
When will my FMLA/Disability Form be completed?
Once submitted, we will contact you within 24-48 business hours for payment. Once payment is received, the form is completed and delivered within 5-7 business days.
How do I check the status of my request?
Go to https://recordstatus.sharecare.com
How do I pay for my records, forms and/or radiology images?
Go to: https://payonline.hds.sharecare.com/
How do I contact Customer Service?
Medical Record Requests – (858) 244-1811
FMLA/Disability Form Completion – (866) 273-4039
Contact Support for live chat: https://hds.sharecare.com/contact-us/