Medical Records and FMLA/Disability Forms


 

Dallas Orthopedic and Shoulder Institute has partnered with HealthMark Group to ensure the accurate and timely completion of your Medical Records requests as well as FMLA and/or Disability forms.

→ Use the graph below to select the proper option and click on the provided link.

To follow up on the status of your medical record request, you may contact HealthMark directly at 800-659-4035 or status@healthmark-group.com.

To follow up on the status of FMLA/Disability Forms, you may contact HealthMark at 972-895-2138 or email fmla@healthmark-group.com.

 

Please click here to review the Dallas Orthopedic and Shoulder Institute Notice of Privacy Practices.

 

How do I decide which option to use?

Release to you

(the patient, for personal records

or another physician’s office)

3rd party medical record release (attorney, disability, insurance)

FMLA/Disability Forms

How long will it take to process my request?

Immediately, utilizing the patient portal HERE. Or,

7-10 business days after payment has been received

5-7 business days

5-7 business days with signed request

Click HERE to submit a request.

How much will this cost?

Patient portal: FREE

HealthMark: FREE

Diagnostic imaging on CD: $10

Charges vary based on

quantity needed

$30

(paid directly to HealthMark)

Where do I submit my request?

Quickest option: Patient Portal- no request required! Click here

Please submit your request HERE

or by fax: 214-256-3770 Make sure to include signed medical record release with request

Please submit your request HERE

(NO in-person submissions please, you will be directed to submit through portal even if you come to the office)

Through Healthmark: HERE

Will I be notified when my request is ready?

Yes, by email

N/A

Yes, by email

 

How can my records be delivered?

Immediate download or email

available on patient portal OR

by email through HealthMark

Fax or FedEx

You can access them using the online portal. You will also be asked to choose method of delivery

(i.e. secure email, mail, etc)

 

Location
Dallas Orthopedic and Shoulder Institute
222 South Collins Road, Suite 101
Sunnyvale, TX 75182
Phone: 469-213-2093
Fax: 214-256-3770
Office Hours

Get in touch

469-213-2093