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Text Content

 * Home
 * Locations
   * Urgent Care
   * Primary Care
   * Specialty Care
 * Services We Provide
   * Urgent Care
   * Primary Care
   * Specialty Care
   * House Calls
     * Insurance
     * Partners
     * Service Areas
     * Contact House Calls
   * Virtual Care
   * Care Coordination Services
     * Health Home
     * Health Home Referral
   * Specialty Referral
   * Nursing Home
   * Employer Health
   * NY reach
   * Hospitalist
   * Atlas IPA
 * Provider Referral
 * Patient Resources
   * Pay My bill
   * Request Patient Medical Records
   * Payor Request for Medical Records
   * Hipaa Authorization Online Form
   * Virtual Visit Instructions
   * Patients with Special Needs
   * Accepted Health Plans
   * Health Plan Customer Service
 * About
   * About Essen
     * Mission
     * History
     * Awards
     * Leadership
   * Events
   * News Room
   * Contact Us
   * Careers
     * Training & Careers
     * International Medical Graduates
 * Español



CLICK FOR CARE




REQUEST MEDICAL RECORDS

Essen Health Care takes Protecting the confidentiality of every patient’s
medical record seriously. As a patient, you have the right to access your
medical records.


HOW TO OBTAIN A COPY OF YOUR MEDICAL RECORDS.

Patients who have registered may access their available medical records on the
Patient Portal , which allows you to conveniently view your personal health
information from the privacy of your own home at any time. With an activated
account, you are able to review your medical records from past appointments, lab
results, current medications and manage upcoming appointments.

Alternatively, you can request a copy of your medical records from the Office of
Medical Records. Please follow the instructions below and complete the
Authorization to Release Medical Records Form to help us process your request.
Please note, a written request needs to be provided prior to processing. We are
providing this downloadable form for your convenience.

Medical Records | Contact Information

Email:

MR@essenmed.com

Fax:

(646) 461-2305

Mail:

2626 Halperin Avenue, 2nd Floor
Bronx, New York 10461
ATTN: Medical Records/Corporate Compliance Office

HOW TO GET A COPY OF YOUR RECORD FROM MEDICAL RECORDS.

Step 1 - Print

CLICK HERE to print out a HIPAA Release of Information form (Verbal requests are
not accepted).

Step 2 - Fill Out and Sign the Form

All sections of the form must be completed in order for medical records to be
released.

Print clearly, designate whether you require the entire record or a specific
portion, and include the mailing address to which the records are to be sent
(either your address or the address of your physician).

Step 3 - Submit Form

Submit Form Upload and email your completed signed form here or fax to:
646-461-2305. Please include the best way to contact you should we have any
questions about your request.

Click Here for Frequently Asked Questions

FOR HEALTHCARE PROVIDERS

Physician office or hospital can request records during office hours by faxing a
request on letterhead to 646-461-2305 or email from a company email address.
Please include the patient’s name, DOB, and designate entire record or specific
portion(s).

COVID-19 TEST RESULTS, PLEASE CALL 718-583-7736

FOR 3RD PARTY REQUESTS

Any third-party requestors should submit a request for patient records by
following the process above with the legally required documentation

ABOUT US

We truly believe in putting our patients first. We are part of the community we
serve and we understand the challenges and needs of our patients better than any
other practice

LET’S CONNECT


GET IN TOUCH


2614 Halperin Ave
Bronx, NY 10461
718-365-7877
info@essenhealthcare.com Click For Care

QUICK LINKS

 * Virtual Visit Instructions
 * Care Coordination, Community & Social Services
 * Specialty Referral
 * Patients with Special Needs
 * Insurances Accepted
 * Request Patient Medical Records
 * Pay My Bill

© 2024 Essen Healthcare

 * Terms & Conditions
 * Privacy Policy
 * Cookies

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