BSA Health System offers the following individuals the ability to request electronic medical records easily online through the MyChart patient portal or our online request platform:
- Patients requesting their own records
- Parents of minor patients requesting records
- Caregivers acting on behalf of a patient (i.e. Power of Attorney)
Please note: Chrome, Firefox, and Safari are the recommended browsers.
Request Records in MyChart
View your patient medical record securely from your computer or mobile device through MyChart. Once logged in to MyChart, go to Menu > Document Center > Requested Records > Click to send a request for records and complete the form. Click below to sign in.
Request Records in MyChart
(patient or legal guardian with MyChart accounts)
Request Records Online
Receive a copy of your medical record request using our online request platform. To verify your identity, you will need to submit a photo of your driver’s license. Click below to begin the request. A copy of your record will be sent to the email address provided.
Request Records Online
(patient or representative requests only)
Request Records on Paper
You can request a copy of your BSA medical records by completing an Authorization to Disclose Health Information Form. Spanish Authorization to Disclose Health Information Form.
If you are needing records from BSA Harrington Cancer Center please complete the Harrington Authorization to Disclose Health Information Form.
You may drop off your release of information form by checking in at the information desk on the first floor before proceeding to the Release of Information office on the eighth floor. You may also mail the release form to the address below or fax it to 806-212-5575.
Mail:
Medical Records
BSA Health System
1600 Wallace Blvd.
Amarillo, TX 79106
A HIPAA-compliant request for records must contain the following information:
- A description of the information that will be used/disclosed. It is important to indicate what records are needed as well as a date range. This will expedite the request.
- The purpose for which the information will be disclosed.
- The name of the person or entity to whom the information will be disclosed.
- A signature and date that the authorization is signed by an individual or an individual’s representative. If a representative is signing the form, the relationship with the patient must be detailed along with a description of the representative’s authority to act on behalf of the patient.
If you have any questions about your medical records, please call 806-212-5452.