Requesting AHP Medical Records - Arch Health Partners

o If charges are likely to exceed $50, we will ask for a deposit of $50‐$100 depending on the
records requested.
• Payment shall be made when records are picked up or if records are mailed, an invoice will be
included. Payment is appreciated within 10 days.
• We accept cash, check or credit/debit card.
4. Allow Time for Processing
• It may take up to 10 days to make the record copies available. The actual time needed depends on
various factors. If you need the records urgently, please tell our staff and we will try to
accommodate you the best that we can.
5. Picking‐up Your Copies
• Be prepared to show valid identification such as driver’s license, military ID, etc.
• If someone other than the patient needs to pick up the copies, they must be provided with a signed
letter from the patient that allows them to do so, being sure to specify the recipient by name.
6. We will mail or fax your medical records to your physician, or you may hand‐carry them.
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Who May Sign
Legal Representative: The requestor must be named in the document.
‣ Advance Health Care Directive
‣ Letter of Conservatorship
For Deceased patients: The requestor will be asked to provide proof that the patient is deceased and proof that the
requestor is the beneficiary or personal representative, as defined by California State law.
‣ The patient’s will
‣ Final Order of Distribution
‣ Letter of Executorship
‣ Letter of Administration
When the Patient is a Minor
‣ Either parent, unless one parent has Sole Custody
‣ Legal Guardianship
‣ For Emancipated Minors: An identification card issued by the DMV
‣ A minor patient may sign the Authorization when release is for records on treatment to which the minor can
legally consent, for example, treatment or prevention of pregnancy.
When the request is for the sole purpose of applying for health insurance or for enrollment in another type of health
plan, the spouse or person financially responsible may sign, under certain circumstances. Please refer to the Manager,
AHP Medical Records Department.