Release of Health Information

 

West Tennessee Bone and Joint has partnered with Sharecare to fulfill your requests for records.

West Tennessee Bone and Joint 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.

 

How can a patient make a request?

To request records and Radiology Images, complete the online form below. You will be required to provide a valid email address and a government issued ID.

When will my online medical record request be ready?

Your records will be ready in 5-10 business days from the receipt of your electronic request.

How do I check the status of my request?

How do I contact Customer Service?

Live Chat Support at https://hds.sharecare.com

Contact Customer Service at 858-244-1811

If you are unable to complete the electronic form above, download and complete the paper form below. The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Please note the processing of records is faster using the online form above.

Records are usually available within 10 days from the time the request is received. If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate that on the authorization form, and ask them to bring their government-issued ID.

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/Conservatorship.

Download PDF of authorization.

Once the form is filled out, you can print it or save it and then email it to: medicalrecords@wtbjc.com.

Mail:

West Tennessee Bone & Joint Clinic, P.C.
24 Physicians Drive
Jackson, Tenn. 38305

Fax:

731-668-6757 (main fax)
731-410-2380 (release of information fax)

In Person:

West Tennessee Bone & Joint Clinic, P.C.
24 Physicians Drive
Jackson, Tenn. 38305

Hours:

8 a.m. to 5 p.m. Monday-Friday

Fees

There may be a cost associated for records released.