Release of Medical Information

Patients have the right to access and manage their medical records. Crystal Clinic Orthopaedic Center provides secure processes for requesting, authorizing, and releasing medical information in accordance with applicable privacy regulations.

Whether records are needed for personal use, another healthcare provider, legal purposes, or insurance requirements, our team is committed to helping facilitate the request process.

Requesting Medical Records

To request medical records, patients must complete a HIPAA-compliant Authorization for Release of Medical Information form. Requests may be submitted electronically or by mail, fax, email, or in person at any Crystal Clinic Orthopaedic Center location.

Authorization for Release of Medical Information Form

Email: ROI@crystalclinic.com
Fax: 330-666-5884

Mail:
Crystal Clinic Orthopaedic Center
Attn: ROI
3925 Embassy Parkway, Suite 130
Fairlawn, OH 44333

Patients may also request imaging records through a secure electronic delivery option by using the button below.

Electronic Authorization & Submission

Processing Times

Patient requests are generally processed within 10 business days. Requests related to attorneys, insurance companies, legal matters, or copy services are generally processed within 28 business days. Additional time may be required for records sent by mail.

Copy fees may apply in accordance with Ohio law. For questions regarding medical records requests or processing times, please contact the Release of Information Department at (330) 670-4076.

Patient Forms Fee Notice