Obtaining Copies of your Health Information

To Former Patients of LHMG:

Due to the closure of LHMG, MedSouth Record Management, LLC has been designated to provide release of information services by processing requests of its former patients for continuity of care and/or transfer of care to a new provider. You can request copies of your health information as outlined.

 

Complete and sign the patient authorization form. Return this form to MedSouth as instructed on the form. Please allow 5-7 days for processing. If you have not heard from us within this time frame, please feel free to call us at 985-951-7148.

 

Click below to download the LHMG patient authorization form

Download Patient Authorization for LHMG

To Other Requesting Parties:

To obtain patient health information from the former locations of LHMG for any reason other than continuity of care, please submit your request and HIPAA compliant patient authorization via email to:

LHMG@medsouthrecord.com

© 2014 MedSouth Record Management. Any unauthorized reproduction, recording, or transfer of information without the express, written consent of MedSouth Record Management is hereby prohibited.

 info@medsouthrecord.com |  p: 888 219 3360

Submitting Form...

The server encountered an error.

Form received.