Request Records

How to request HealthSource of Ohio Medical Records:

Option 1: Request medical records online (eRequest) through HealthMark. Request fulfilled in approximately 3 days.

Option 2: Submit a written request:

Step 1: Fill out Authorization – Release of Information form.

Step 2: Mail/fax/deliver the completed form to your HealthSource of Ohio location. Request fulfilled in approximately 3-7 days.