Medical Records
A Release for Medical Record Transfer Form must be completed in order to have your child’s medical record copied and forwarded to another health care provider.
A release for medical record transfer form must be completed in order to have your child’s medical record copied and forwarded to another health care provider. Please be specific on the contents of the record you need. The coping of records is a service provided for you. The state of Indiana Law (IC 27-15-13-2 Sec 3) establishes the fees allowed to copy these records. These fees are your responsibility to pay. Insurance does not cover this service.