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Medical Records Request

Patients
Providers

Release of Health Information

We love hearing from you.

At NextCare and our family of brands, we are constantly working to provide you with the best service and medical care possible.

Be it online, in the clinic, or at home, we want you to feel safe and secure when dealing with your medical providers, our management team, or your private patient data. Please use the form below to reach out, and we will review your comments internally. For any immediate needs, please call us at:

Billing – 1-888-705-8558
Medical Records – 1-888-381-4858

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Thank you for being a valued member! For customers who have online account access you can simply log in to your account at mdp.nextcare.com to manage your account. Your online account provides you access to update your payment details, add new members, review payment history and/or cancel. If you do not have online access please select an option below for assistance.
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You acknowledge that if You wish to cancel your Advantage MONTHLY Membership, You must submit a request 10 days before your next billing cycle to ensure appropriate time to process the cancellation
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We want to make your bill payment experience with NextCare as easy as possible. Please complete the form below and our Billing Team will contact you as soon as possible. For immediate assistance, you can reach our billing department at 1-888-705-8558
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The goal of NextCare is to provide quality care and service every time you visit. It helps us to know what you liked or did not like about your visit. Let us know how we did by completing the form. Our patient liaison will contact you about your visit as soon as possible.
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For General Comments, please use the contact form below. Our team will contact you as soon as possible.
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Please provide your account number if available from your NextCare bill.

Release of Health Information
NextCare has partnered with Sharecare to fulfill your requests for records.

NextCare 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 our patient 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 and a government-issued ID.

https://myplatform.hds.sharecare.com/submission-tools/ui/patient?clientId=AZ2000

If you are unable to complete the electronic form above, download and complete the paper form below. 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 form above.

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.

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.

https://myplatform.hds.sharecare.com/submission-tools/ui/pro?clientId=AZ2000

When will my online medical record request be ready?

Your records will be ready in 3-5 business days from the receipt of your electronic request.

How do I check the status of my request?

Go to https://recordstatus.sharecare.com

How do I pay for my records? Go to: https://payonline.hds.sharecare.com/

How do I contact Customer Service?

You may call: 858-244-1811 Or Contact Support for live chat:  https://hds.sharecare.com/contact-us/

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*Rapid testing is not available in our Kansas market. Non-negative rapid test results are sent-out to lab for confirmatory testing and MRO review prior to result reporting.
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  • Find Your Location
    • Arizona
    • Colorado
    • Kansas
    • Michigan
    • Missouri
    • North Carolina
    • Oklahoma
    • Nebraska
    • Texas
    • Virginia
    • Wyoming
  • Plan Your Visit
    • Virtual Urgent Care: See a Doctor Online
    • Coronavirus (COVID-19)
    • Insurance We Accept
    • Pre-Visit Forms
    • Medical Discount Plans
    • Pay Your Bill
    • FAQ
    • COVID-19/Antibody FAQ
  • What We Treat
    • Antibody Testing
    • Illnesses
    • Injury
    • Physicals
    • Pediatrics
    • X-rays
    • Lab Services & Blood Work
    • Immunizations & Vaccines
    • Back Pain
  • Health Resources
  • Occupational Health
    • Worker’s Compensation
    • Employer Services
    • DOT Physicals
    • Employer Benefits