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Medical Records

To retrieve Medical Records, the form below must be completed and returned by fax, email, or dropped off at your Health Center. Please note that Medical Records may take up to 10 business to process.

About our Process

Forms

If you are requesting Medical Records and you are the patient, patient representative, or third party, please use the authorization form below.

Once the authorization form is completed, please submit it either by fax, email or drop it off at your health center.

Make a Payment​

Need to make a payment? Click on the link.

FTCA Deemed Organization. HHLI is granted medical malpractice protection through the Federal Tort Claims Act (FTCA) HHLI receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. HHLI is a 501 (c)(3) charitable organization. This institution is an equal opportunity employer.