Request your medical records

Tell us who the records are for and what you need. We verify every request, then email a secure link within 5 business days.

Your recent lab results and urgent care records may already be in the TrufaMED app.

Who is making this request?I am the patientI am the parent or legal guardian of a patient under 18I am TrufaMED staff entering a signed paper form

The patient

First name

Last name

Date of birth

Month

Day

Year

How we reach you

Phone

Use the email and phone we have on file for the patient, so we can match the request quickly. The records will be sent to this email.

What would you like?Complete medical recordVisit notesLab resultsImaging reportsImmunization records

From date (optional)

To date (optional)

Anything else we should know (optional)For example, the date of a specific visit. Please do not include symptoms or other health details here.

I confirm that I am the patient, or the parent or legal guardian of the patient under 18, and that the information above is correct.

Requesting records for someone else, or asking us to send them to another doctor, a lawyer or an insurer? Use the Authorization for Release of Health Information on our medical records page.