Financial Policy
https://mfcmn.com/wp-content/uploads/2023/10/iHealth-financial-policy.pdf
Good Faith Estimate
https://mfcmn.com/wp-content/uploads/2023/10/Good-Faith-Estimate-Notice.pdf
Notice of Privacy Practices
https://mfcmn.com/wp-content/uploads/2023/10/i-Health-Notice-of-Privacy-Practices.pdf
Medical Records Release Form
Online request for Authorization to release Medical Records
We partner with MediCopy to fulfill Release of Information requests. MediCopy is fully HIPAA compliant and adheres to all state and federal regulations concerning the release of medical information.
Patient Record Request (Authorization for release):
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- Please provide an email address on the authorization to expedite the process and delivery method.
- Records sent via email, or to another provider, are complimentary.
- Requests are processed within two (2) business days upon receipt by MediCopy.
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Healthcare Provider Record Request (Authorization to obtain):
For physicians, insurance companies, attorneys, or employers looking to request medical records.
