Medical Records

Online Medical Records Request

Utilize the links below to request a copy of your medical record online. Records will be securely fulfilled by our trusted partners, Verisma, within five to ten business days of receipt.

I AM A PATIENT

I AM A PATIENT REPRESENTATIVE

I AM AN ATTORNEY

Visit the appropriate link above and complete all required fields. Note, you must upload a copy of your government issued photo ID at the time of your request. For support, email customerservice@verisma.com or call 866-305-4435.

You may also request copies of your medical records by phone or fax.

Phone: (501) 664-5860 / Option 4
Fax:  (501) 663-1753

To expedite your request, please complete the  Authorization to Use or Disclose Health Information (PDF) and return via mail to:

Attention: Medical Records
1701 S. Shackleford Road
Little Rock, Arkansas 72211