Interoperability Request

Interoperability and Electronic Health Information (EHI) Export (Computer-Readable Only) Request

ATTENTION: This form is a request for machine/computer-readable format only.
This should not be used for patients and their legal representatives to request copies of medial records. To request copies of your medical records, please visit the Release of Information page.

Questions? Call 866-609-4357. For patients 877-778-7211

Interoperability Request

* Required fields

Requester Information