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Parkland Medical Center

Request for Medical Records

Parkland Medical Center utilizes a vendor, HealthPort Technologies, for release of information.

You may request a transfer of your medical records by printing and completing the following form(s):

You may fax or mail the form in for processing.

Fax the completed form to:

HealthPort Technologies - (855) 330-4290

Mail the completed form to:

HealthPort Technologies
Release of Information
Richmond Shared Service Center
7300 Beaufont Springs Dr
Richmond, VA 23225

Allow five to seven business days for processing.

* Records will be mailed from HealthPort Technologies.

Records being released to another medical office for continuation of care are sent at no cost. Please specify the medical office name and address in the "Recipient" section of the Release of Medical Information form.

Records being released for personal requests will be mailed to the address provided on the Release of Medical Information Form. The envelope will display the HeathPort Technologies logo.

For questions, please contact HealthPort Technologies Customer Service at: (877) 302-7338.