app.chartrequest.com Open in urlscan Pro
44.213.242.170  Public Scan

Submitted URL: http://url493.chartrequest.com/ls/click?upn=u001.g15gzftorkRrHRgSN2ixi0Nn7Vtwp1Z472uWExDGHADd31yPbbGDXdTmZvysPEDHfv8s27hNwYi4Vu...
Effective URL: https://app.chartrequest.com/
Submission: On August 12 via manual from US — Scanned from DE

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PROVIDING SECURE TRANSFERS OF MEDICAL INFORMATION

We want to create a seamless experience for you. To begin signing up for your
account, we need to know if you are here as a patient or if you are working on
behalf of a professional (or medical) organization.


YOUR SECURE & COMPLIANT
HEALTH INFORMATION EXCHANGE

Nationwide Provider Network

HIPAA, SOC 2, & ISO 27001-ready

EMR-Agnostic Referral & Care Coordination


PATIENT

I AM REQUESTING MY RECORD OR MY FAMILY'S RECORDS

Sign up as a Patient


PROFESSIONAL

I AM REQUESTING RECORDS ON BEHALF OF MY ORGANIZATION

Sign up as a Professional
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Providing Secure Transfers of Medical Information

We want to create a seamless experience for you. To begin signing up for your
account, we need to know if you are here as a patient or if you are working on
behalf of a professional (or medical) organization.

Please select signup type

Patient

I am requesting my records or my
family’s medical records.

Professional

I am requesting records on behalf of my
organization.

Select Organization Type to continue
Organization Type Provides healthcare directly to patients Does not provide
healthcare directly to patients
Sign Up

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or
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