ROI

Business Hours

Monday – Friday, 8:00 AM – 4:30 PM

Online Patient Record Request

TCO now offers an Online Patient Record Request tool for the following individuals to request patient records:

• Patients requesting their own records
• Patients requesting their own records to be sent to someone else
• Parents of minor patients requesting records
• Caregivers acting on behalf of a patient (i.e. Power of Attorney)

The Online tool verifies your identity by asking for a photo of your driver’s license or Government issued identification, which can be taken via webcam or smartphone. There is no additional charge to use this service.

Please note: Chrome, Safari and Firefox are the recommended browsers for this application.

Online Healthcare Provider Record Request

TCO now offers an Online Healthcare Provider Record Request tool for Healthcare Providers ONLY to request patient records.

Form Completion

In order to request the release of your private medical records, please download and complete the Authorization for Release of Medical Information form below. Upon completion of the form, please submit by:

Fax:
414-255-2776

Mail To: 
Treating Clinic Location

Email:
[email protected]

Drop Off:
Treating Clinic Location

Questions

763-504-2729

Release of Information (ROI) Form