Completing a records request or Physician Form.
Your patient, or their representative, has asked Medchart to collect their records for a tobacco settlement claim. We handle the request and tell you exactly which documents are needed, so your office spends less time on faxes and phone calls.
The Physician Form
✓ When a pathology or spirometry report is not available, the claim can be supported by a completed Physician Form.
✓ Download the Physician Form, complete it, and return it securely through the portal.
✓ A letter from the doctor with a supporting report also works.
Get the Physician FormWhy it is easier with Medchart
✓ The patient's signed permission comes with every request.
✓ Send records securely online, in the format that suits you.
✓ Any fee is handled through Medchart. You do not bill the patient.
Respond to a requestReceived a records request?
Respond securely online, or get the Physician Form, through Medchart.