How to Request Your Records
Gold Coast Anesthesia is committed to protecting your privacy and ensuring your health information is handled securely. To request a copy of your medical records, please follow the instructions below.
Please complete the secure form below. All fields marked with an asterisk (*) are required to verify your identity and locate your records.
If you prefer not to use the online form, you may send a written request or a signed HIPAA Authorization form to our records department.
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Secure Fax: 312-319-2537
Important Information
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Processing Time: Please allow 5–7 business days for your request to be processed.
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Fees: There may be a standard administrative fee for records requested for personal use or legal purposes.
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Verification: For your protection, we may contact you to verify your identity before releasing any sensitive information.