Release of Medical Information

Returning the Authorization for Release of Medical Information Form The authorization can be mailed or faxed to our main processing location.  

HIPAA AUTHORIZATION


NOTICE

Due to the COVID19 Pandemic, the Crystal Clinic Orthopaedic Center is taking temporary measures to minimize the spread of the virus, as well as protect the health and safety of our patients and staff. During this time, we are no longer allowing patients to walk in and pick up their medical records.

To request a copy of your records, please submit a HIPAA Compliant Authorization to any of the following: Records will be returned to you within 24-72 hours. Please allow for additional time if records are being mailed.

  • Email to: ROI@crystalclinic.com
  • FAX to: 330-666-5884
  • Request securely online through our platform, www.HXE.io. Choose “request” and either login or create an account.

We can also provide a secure electronic option for your imaging through Nucleus.io. Please submit your request through an above means and choose to have your images emailed

Thank You,  Medical Records Department


Mailing Address: 
Attention: Medical Records, 
ROI Crystal Clinic Orthopaedic Center 
3975 Embassy Parkway 
Akron, OH 44333

Fax: (330) 666-5884 

Processing Time

  • Patient requests are generally processed by our copy service within 10 business days. Please indicate if you have a pending doctor’s appointment at the time of request to expedite this release.
  • Attorney, insurance, legal and copy service requests are generally processed within 28 business days.

Please be advised that a copy fee is assessed in accordance to ORC 3701.741 and updated each February per ORC 3701.742. Please contact the Release of Information department at (330) 670-4076 for additional questions.

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