Need to transfer medical records?
PrimeCare of Novi can help patients transfer records into our office or send records to another practice with a properly completed authorization form.
Your Medical Home
The more complete your records, the better we can care for you
Medical records help our physicians understand your history, medications, allergies, test results, imaging, specialist care, hospital visits, and preventive care needs. If you are joining PrimeCare from another office, we recommend requesting your records before or shortly after your first visit.
Transfer Records In
If you are becoming a PrimeCare patient, complete a release so your previous office can send records to us.
Send Records Out
If you are transferring care, we can send your records to your new practice with proper authorization.
HIPAA Privacy
Records are handled according to privacy standards and require a properly completed release form.
Record Release Forms
Choose the form that fits your situation
Please complete the appropriate authorization form and return it to our office. A valid release is required before records can be transferred.
Transfer records to PrimeCare
Use this form when you want your previous physician, specialist, or medical office to send records to PrimeCare of Novi.
Send records to another office
Use this form if you are transferring care and want PrimeCare to send your records to another medical office.
What to Include
Help us process your request smoothly
Patient full name
Date of birth
Phone number
Receiving office name
Office fax number
Office address
Signature
Date signed
Processing Time & Privacy
Records are released with proper authorization
Please allow up to 3 business days
Records are typically faxed within 3 business days after we receive a properly completed release of records form.
Privacy matters
We are committed to protecting patient privacy and complying with HIPAA requirements. A copy of our privacy policy is available upon request.
HMO patients
If you belong to an HMO and your primary care physician is not listed as one of our doctors, please contact your HMO to make the appropriate change before your visit.
Questions About Records?
Call PrimeCare before submitting your request
Our team can help direct you to the correct form and explain how to return it to our office.