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Medical Records Request

Urologic Specialists of Northwest Indiana has partnered with Sharecare to fulfill your requests for records.

For Patients & Legal Guardians

Urologic Specialists of Northwest Indiana is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.

View Notice of Privacy Practices →

If you are our patient and would like to request your medical records, please click on the link below to complete your request. You will be required to provide a valid email address and a government-issued ID.

Request Records Online

Only the patient, parent/legal guardian, or the patient’s legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive, Durable Power of Attorney for Healthcare, or Conservatorship.

Doctor and nurse reviewing information at computers in a clinic office
Doctor and nurse in scrubs reviewing blue patient folders

For Third-Party Requesters

If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.

When will my online medical record request be ready?

Your records will be ready in 3-5 business days from the receipt of your electronic request.