Medical Records contain your medical information. To provide you quality care and to comply with certain legal requirements, these records could include:
By law, it is your right to request access to your Protected Health Information (PHI). NorthLakes Community Clinic is dedicated to protecting and maintaining the confidentiality of your PHI. We will only share your records as needed for treatment, payment, or with your permission.
To request access, please download our Health Information Release Form, which is always required to be filled out and sent to us.
When you fill out this form, the law requires that the authorization includes the patient or guardian’s written signature along with the date when then the request is being authorized. Please review our Health Information Release form for more details about disclosing your PHI.
View Your Medical Records Online:
Your medical records are available to review through our secure online patient portal, MyChart.
If you’re interested in learning more about using MyChart, please visit our MyChart page.
How to Request Records:
Fill out our Health Information Release Form to authorize the request to share your protected health information. You can pick up or drop off the health information release at any of our NorthLakes clinics, or you may fax or mail it to the following address and fax number.
Mail:
ATTN: Medical Records
NorthLakes Community Clinic – Hayward
15954 Rivers Edge Dr.
Hayward, Wisconsin 54843
FAX:
(715) 318-5644
If you have any further questions, please contact our Medical Records Department directly:
Call 888.834.4551, wait for the voice, press the number for the clinic you visit, and then select the medical records option.
Please note that If we’re not available, you may need to leave a voicemail with your name, date of birth, and a brief message.
Please note that due to the volume of requests we receive, a copy of your Medical Records can take up to 30 days to process.
