Medical Records
Access your records on MHealth
You can access all of your records online through the patient portal. For more information on our MHealth Patient Portal, click here
Access your records online
A patient or his/her legal representative may inspect and/or obtain a copy of their medical records or have copies of medical records sent to another facility.
We require a completed and signed Authorization for Release of Health Information form before releasing any documents to anyone, including the patient. We may also ask for sufficient identification if needed.
A patient’s representative is defined as the parent or guardian, or conservator of the patient. Proof of guardianship of the minor or conservator of a person must be shown along with a photo ID
Request a copy of your medical records online
Firelands Health now offers an online records request tool that verifies your identity by asking for a photo of your driver's license, which can be taken via webcam or smartphone. There is no additional charge to use this service.
Request your records online
Request a copy of your medical records by email
Please complete the form Authorization for Release of Medical Information
E-mail your completed form to firelandsROI@datavant.com
Health Information Exchange Opt-Out Form
If you have any questions regarding the release of health information, please call 419-557-7435.
