All medical records and invoice requests must be submitted online using our secure request portal.
Paper requests are not accepted.
Paper requests are not accepted.
While completing the form, please note:
- You must select one of the images provided when prompted
(Failure to do so will result in an error and your request will not submit.) - Click Submit once all required fields are completed.
- On the next screen, add any required documents using the paperclip icon.
After submitting your request, you will receive an email from HealthEMS.
⚠️ Important:
You must click the FIRST link in the email to confirm your account.
Requests will not be received unless this confirmation step is completed.