Please use the below link to access the records release form. There will be a labor fee of $20.00 for the first 10 pages, $0.50 per page for pages 11-50 and $0.25 per page for pages 51 and higher to cover copy and transmittal costs. Please note, there will be no fee charged from PromptServe Family Medicine if another medical provider requests your records to be sent to their office. Between April 16, 2018 and April 30, 2018 you may pick up your records between the hours of 7:30 a.m. to noon. A copy of a valid photo identification will be required for all records release transactions.
After April 30, 2018 your records will be held with VeriTrust Corporation. Please complete the VeriTrust medical records request form and submit the form along with a clear copy of your identification to VeriTrust - Medical Records Fulfillment, P.O. Box 550748, Houston, TX 77255. A copy of the VeriTrust medical release form may be found at https://veritrust.net/client-support/medical-records-request/ or by calling VeriTrust at (713) 263.9000. For any fee associated with copy, retrieval, postage, etc. from VeriTrust, please contact them directly.