Medical records

What’s in my medical record?

Your medical record is a summary of your health and health care experiences. It may include information about:

• Allergies
• Doctor’s office visits
• Medications
• Previous and current health conditions
• Previous treatments, including surgeries
• Results of exams and tests
• Vaccination records

Protecting your privacy

Trust ProHealth to keep your health information private. To see how your medical information may be used or shared, review our Notice of Privacy Practice.

Request copies or view your medical records

You have a right to obtain a copy of your medical records from ProHealth Care. Your medical records can be printed for your use or provided electronically and accessed online, sent by email or stored on a CD.

Your medical records can be sent to anyone you specify, including health care providers, employers or other organizations. You can also request copies for personal use.

There are three ways to view or request your medical records from ProHealth Care:

1. View your record online
   Get instant access to your health information 24/7 when you use ProHealth Care MyChart. MyChart allows you to securely view your medical information and test results online, communicate with your provider, schedule appointments, participate in virtual visits and more.

   If you do not have an account, you can set one up now. Once you have an account, you can request proxy access to view the MyChart account of a family member or person you provide care for.

   If you cannot find the information you need on MyChart, you can request your medical records by using "Your Menu" on the left to select the "Document Center" and then "Request and view records."

2. Request copies of your medical record from the CIOX website
   The process will take 10 minutes or less to complete. You will need to have a photo ID and mobile phone with Chrome, Firefox or Safari as your browser. You will be asked for your contact information, record types and if you want to securely access your files online or have them mailed to you. You will also need to take a photo of your driver's license or other government-issued photo ID using your mobile device or upload an image if using a desktop computer.

   Before your request is submitted, you will be asked to review and edit or sign an Authorization to Release Protected Health Information form generated by the software.
   
   Request records

3. Download, complete and submit an Authorization to Release Protected Health Information form
   English: Authorization to Release Protected Health Information [PDF]
   Español: Autorización Para Dar O Compartir Información Médica [PDF]

   Mail or deliver the form to:
   ProHealth Care
   Health Information Management – Release of Information
   N17W24100 Riverwood Dr., Suite 200
   Waukesha, WI 53188

   Fax the form to:
   262-928-5756

   If you have questions, call 262-696-5844.

   Cost to obtain copies of your records

   There is no charge for electronic copies of medical records.

   If you require paper copies of your medical record, you will be charged:

   • • • 90¢ reproduction fee.
       • 5¢ per page.
       • Postage if you wish to have the copies mailed to you.

   Requested records are generally ready within one week. If you prefer to pick them up, you can do so during regular business hours. A photo ID will be required.