To Request Medical Records:

• Step 1: Complete a Authorization Form
• Step 2: Send Completed Authorization Form to:
  - Email: requests@provider1st.com
  - Fax: (800) 818-2114

Note: Provider1st is only able to provide Medical Records for Providers that partner with Provider1st for Release of Information.

Medical Record Status:

• To check the status of your Medical Records, please:
  - Email: requests@provider1st.com
  - Or, call: (855) 514-2378
• Provide your Name, DOB, & Provider or Clinic Name.