Medical Records Request
Spine Institute of New York maintains compliance with HIPAA regulations regarding confidentiality of patient’s medical records. A signed Release of Medical Authorization Form (download now) is required from the patient to obtain copies of medical records. There is a fee associated with the copying of medical records.
A patient may sign out their films. The patient is responsible for the safekeeping and return of the films for any future visits.
Please contact our Medical Records Office at (212) 844-8680 for information and fees associated with the copying of films. Films are sent via Regular Mail unless the patient provides us with a credit card or Federal Express Account number.
- Download a Medical Information Release Form.
- After downloading the form and completing the information, please use the following mailing address or fax number to submit your medical record/film request.
(Attention: Medical Records)
Beth Israel Medical Center
10 Union Square East, Suite 5P
New York, NY 10003
Attn: Medical Records Request
The Spine Institute will make every attempt possible to process medical record/film requests in a timely manner. Some medical record/film requests may be in an off-site storage and may take up to ten business days to process.