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Medical records are available by request

Please choose one of the options below to submit a medical record, imaging or billing record request.

To submit a request online (fastest way)

Online requests are managed through Verisma. Submit your request here:

Patient’s request (Opens in new window)
Patient representative (Opens in new window)
Attorney request* (Opens in new window)

*Please note: subpoenas are not accepted with this method.

To submit a request via mail, fax or email

Please download the Authorization for Release of Patient (Opens in new window) Information form. Complete all required fields, sign, date, and return the form using one of the methods below:

Mail

WellMed

We are in the process of relocating. For assistance, please call 1-800-207–0431 or submit your request online, by fax or via email. Thank you.

Fax

817-514-7879

Attn: Health Information
Management Department

Email*

recordrequests@wellmed.net

Attn: Health Information
Management Department

*If you choose to return the completed form via an encrypted email, please note email is not a secure method of communication and carries some risk of being read by a third party.

Download Authorization for Release form (Opens in new window)

Frequently asked questions

How do I check the status of my request?

Online requests submitted through Verisma:

  • If you received a Medical Records Request Received letter from Verisma: visit track.verisma.com (Opens in new window) and enter the access code on the letter. From there, you can track your request and download your records. Records are usually available within 3 to 5 business days after the request has been submitted.

Requests sent via mail, fax or email:

  • Call Verisma customer service at 1-866-993-2184.

Will I be charged a fee for my medical records?

No

How do I send copies of my records to another doctor?

Please have the doctor or clinic fax their request to 1-817-514-7879 Records will be sent directly to them.