CareMount Medical maintains patient confidentiality by keeping all your personal and health information secure. Patients who are registered in Patient Portal can access portions of their health information from the privacy of their home at any time. The Patient Portal gives you the ability to review past appointments, lab results, current medications, and manage upcoming appointments. The Office of Medical Records works with physicians and patients to facilitate the process of making your medical information available to you.
Click HERE to print out a HIPAA Release of Information form (verbal requests not accepted).
Print clearly, designate entire record or specific portion, and include mailing address for yourself or name and address of physician to send records. If you have an upcoming appointment, please note it on your request.
Submit signed form via Email to email@example.com, Fax to 914-242-1393, or Mail to Medical Records Office, 100 South Bedford Rd. Mount Kisco NY, 10549. Written signed requests are processed and available within 10 business days. Medical records can be mailed to you at a cost of up to $0.75/page or can be picked up at from Medical Records Office, 100 South Bedford Rd. Mount Kisco NY, 10549 (ID required). There are no charges when records are sent directly to another physician or medical facility.
If the patient is a minor (under 18 years of age) or is not competent to give consent to request the records, the signature of a parent or legal guardian will be required.
If you don’t receive your medical records after 3 weeks, you can follow up at 914-242-1238.
Individuals can give family members or a representative the ability to request copies of their medical records in advance by completing a Designation/Removal of Personal Representative** by clicking HERE.
** Designation of Personal Representative – The person(s) who to act on your behalf with respect to the protection of health information that pertains to you.
Physician office or hospital can request records during office hours by faxing a request on a letter head to 914-242-1393. Please include the patient’s name, DOB, and designate entire record or specific portion(s).