Medical Record Request

Body: 

SBCHC has partnered with a company called GRM Document Management to process all requests for release of information. All requests must be made by fax or U.S. mail. For your protection, email requests cannot be honored at this time.

To obtain your medical records:

  1. Download and print this form: PDF icon ROI Authorization
  2. Fill in all required information for processing
  3. Make sure you have signed and dated the form for release of this information
  4. Send GRM your completed form by:

 

Mail

GRM Document Management
Attention: ROI Department
2002 South East Street
Indianapolis, IN 46225
Phone: (317) 803-9715

FAX

GRM Document Management
Fax: (317) 454-8573
Phone: (317) 803-9715
 

To speak to a member of our internal Medical Records team, please call (617) 464-7540 Monday through Friday, 8:30am - 5:00pm.