Medical records
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ARA offers convenient ways for accessing your medical records.

Submit an online request for electronic medical records.

Your medical records include both a written report which lists the findings and diagnosis of your imaging exam and the actual images from the exam which are often requested by a referring physician.

The patient portal also allows you to access and print your exam reports online. Please note reports are not posted to the portal until two weeks after your exam. The patient portal keeps a historical record of your imaging reports that you have had performed with ARA or any of our hospital partners. The patient portal does not include your exam images.

If you prefer to pick up your reports or images at one of our 17 locations, please fill out and submit the form below. If you prefer to fax or mail the medical records request please download form here for printing.

Medical Records Request Form for Clinic Pickup

* Required

I would like to pick up my report at * Required
First Name * Required
Middle Name * Required
Last Name * Required
Email * Required
Address * Required
Street Address City ZIP / Postal Code
Patient's Date of Birth - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Daytime Phone * Required
Mobile Phone
Date of Service - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Study Requested * Required
In what form do you need the Images/report? * Required
DISCLAIMER
In agreeing to terms of use, I understand and accept full responsibility for the medical records (i.e., confidential information) I am about to receive. I relinquish Austin Radiological Association of any and all accountabilities concerning these medical records. I understand that I have the right, per HIPAA §164.508, to revoke this authorization in writing by sending written notice to: Attention: Privacy Officer, Austin Radiological Association, P.O. Box 4099, Austin, TX 78765. I understand that a revocation is not effective to the extent that Austin Radiological Association has relied on the authorization to disclose protected health information; and understand that information used or disclosed pursuant to this authorization may be subject to re-disclosure by the recipient and may no longer be protected by law. THIS FORM IS NOT VALID 1 YEAR BEYOND DATE OF REQUEST. We are allowed to charge you a reasonable fee to cover our costs for making copies of digital images and may charge for multiple copies of paper records.
* Required
- I agree to terms of use
Additional Comments
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Medical recordsaccess is simple.

ARA offers convenient ways for accessing your medical records.

Submit an online request for electronic medical records.

Medical Records Request Form for Clinic Pickup

DISCLAIMER

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Medical records
access is simple.