Millennium Physicians has partnered with MediCopy Services for the release of protected health information (PHI), otherwise known as medical records. Please forward requests for Millennium Physicians directly to MediCopy for processing. See below for methods to request records:

Steps for Medical Records Requests 

Non-Patient Requestors:

Option 1: Click here to submit requests electronically.

Option 2: Fax requests to 866-534-5614

IMPORTANT: The HIPAA Privacy Rule requires a completed, patient-signed HIPAA authorization for all disclosures of PHI, with the exception of disclosures for the purpose of treatment, payment, or health care operations. If your request does not fall under this exemption, please ensure that a valid HIPAA authorization is attached to your request. If the signer of the authorization is not the patient, please also include documentation indicating that the signer is the patient's personal representative (i.e. Power of Attorney, Executor of the Estate, etc.)

Patients:

To request a copy of your medical records please complete a request form by following one of the options below. If the patient is a minor, or unable to sign an authorization, the signature of an authorized legal guardian is required. Once your request is submitted, please allow two business days before calling to check status. 

For online submission: 
Fill out an online request by clicking here. The request form will open in your internet browser. If you need to refer back to this page please right-click to open in a separate tab. Please note that a valid email address is required when submitting an online request and to complete the submission process, you must check your email and verify your request for medical records.

To email your request: 
Please download the request form here. Once you have filled out your request in its entirety, you may securely email it directly to MediCopy at request@medicopy.net. Emailed authorizations require a physical signature. 

To fax your request: 
Please download the request form here. Once you have filled out your request in its entirety, you may securely fax it directly to MediCopy at 866-534-5614. 

To mail your request: 
Please print a request form here. Once you have filled out your request in its entirety, you may mail it directly to MediCopy at:

MediCopy Services, Inc. 
8 City Blvd., Suite 400 
Nashville, TN 37209 

Please note that if records are being mailed, it may take a few additional days for them to arrive. If you have requested to have your records emailed to yourself or another entity, the provided email address will receive a secure, password-protected link to your records. For security purposes, this link will expire, so please be sure to check your email regularly, and always check your spam folder!