MasterRoshi Staging - MedRecords

Are your paper records located at the same address as previous stated?*

Yes
No

Address of your paper records*

If your paper records are NOT located at the same address as previous stated, please let us know the address. We will need this address for pick-up.

Street Address Address Line 2 City Province Postal Code

How many banker boxes do you have?*

A banker box is measured as 15" in length. For every 15" that is 1 banker box. Refer to the scanning page for more detail.

Please enter a number greater than or equal to 1.

Do you require empty banker boxes?*

We can ship empty banker boxes to the address provided. Please be aware that there is a charge for this service.

Yes
No

Are there CDs and/or USBs in your patient's folders?*

Yes
No

Do you want to take on this additional responsibility?*

All physicians and health authorities are only required to store and provide copies of their own records.

Yes - I would like to be responsible for someone else's medical records. Please store their information within my records.
No - Please do not add other physicians' information to my records. Please discard the CDs and/or USBs.

How are your paper records organized?*

Alphabetical
Chronological
Numerical
Other

**Please Note** It is recommended that you comply to MedRecord's boxing guidelines or additional charges may apply for reorganization of records.

Please explain in great detail how your Paper Records are organized.*

Your explanation significantly assists with the transfer process for your patients.

When do you require pickup of full banker boxes? (Please provide a minimum of 10 days notice)*

Please provide date and time range.
eg. July 3-9, 2016 from 12-5pm.

What type of medical records do you have?*

Check all that apply.

EMR
Paper Records
Scanned records not stored in EMR (ie. on USB, hardrive etc)

EMR Provider*

Other (please specify)*

Please Note: You will be required to inform your EMR provider that you will be closing your practice and will be requesting your records to be sent directly to MedRecords in PDF format. Please be aware there your EMR provider may charge for this service.

If you use a self-host such as OSCAR, you will be required to send us your records in PDF format. You can choose any service providers to do this. We recommend Miskovic Informatics and they can be contacted directly at slobodan@miskovic.ca

Do you have CDs and/or USBs in your patient's folders?*

Yes
No

Do you want to take on this additional responsibility?*

All physicians and health authorities are only required to store and provide copies of their own records.

Yes - I would like to be responsible for someone else's medical records. Please store their information within my records.
No - Please do not add other physicians' information to my records. Please discard the CDs and/or USBs.

How many banker boxes do you have?*

A banker box is measured as 15" in length. For every 15" that is 1 banker box. Refer to the scanning page for more detail.

Please enter a number greater than or equal to 1.

Do you require empty banker boxes?*

There may be an additional charge for this service.

Yes
No

When do you require pickup of full banker boxes? (Please provide a minimum of 10 days notice)*

Please provide date and time range.
eg. July 3-9, 2016 from 12-5pm.

Address of your paper records

If your paper records are NOT located at the same address as above, please let us know the address. We will need this address for pick-up.

Street Address Address Line 2 City Province Postal Code

How are your paper records organized?*

Alphabetical
Chronological
Numerical
Other

**Please Note** It is recommended that you comply to MedRecord's boxing guidelines or additional charges may apply for reorganization of records.

Please explain in great detail how your Paper Records are organized.*

Your explanation significantly assists with the transfer process for your patients.

Please provide a time frame for drop off of banker boxes (a minimum 10 days notice)*

eg. After May 8, Mon-Fri from 12pm-5pm

Are there any patients you DO NOT want to access your records?*

Releasing these records may be detrimental to the patient's ongoing health care. In these cases, requested records will be released to their new physician.

Yes (please email a CSV or Excel file to onboarding@medrecords.ca)
No

Comments and notes

We understand every situation is unique. Please feel free to share any additional information for our team.