Medical Records
Release of Health Information
For Patients
Associated Urological Specialists has partnered with Sharecare to fulfill your requests for records.
Associated Urological Specialists is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.
If you are a patient of ours and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide:
- a valid email address
- a government-issued ID.
- Records are usually available within 10 days from the time the request is received.
- If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate that on the authorization form, and ask them to bring their government-issued ID.
- Only the patient, parent/legal guardian, or the patient’s legal health care representative can sign the form to release medical records.
- If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/ Conservatorship.
If you are unable to complete the electronic form in the link above, download and complete this paper form. The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Please note the processing of records is faster using the online link above.
Request Submission
For Third-Party Requesters
If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.
Customer Service
If you have any questions, call or chat live with us below.