Medical Records Release Form

Release of Health Information

Sheltering Arms Institute 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.

Sheltering Arms Institute has partnered with Sharecare to fulfill your requests for records. If you are our patient or the parent/legal guardian of our patient with legal paperwork and would like to request medical records, please follow one of the options listed below.

Option 1: Online Request Tool

Click on the button below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.

Patient Online Access Form

Option 2: Paper Request Tool

If you are unable to complete the electronic form above, download and complete the paper form below. The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Please note the processing of records is faster using the online form above.

Records are usually available within 10 days from the time the request is received. If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate that on the authorization form, and ask them to bring their government-issued ID for pickup.

Only the patient, parent/legal guardian, or the patient’s legal healthcare 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.

Download Authorization Form

 

Frequently Asked Questions

When will my online medical record request be ready?

Your records will be ready in 3-5 business days from the receipt of your electronic request.

How do I check the status of my request?

Please visit https://recordstatus.sharecare.com to check the status of your request.

How do I pay for my records and/or radiology images?

Please visit https://payonline.hds.sharecare.com/ to pay for your records and/or radiology images.

How do I contact customer service?

To contact customer service, please call (858) 244-1811 or visit https://hds.sharecare.com/contact-us/ to chat with a representative.