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.
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 fax at (501) 663-1753 or by mail.
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
Questions? You may contact us via phone: (501) 664-5860 / Option 3, but please note, we are unable to accept medical record requests via phone.