1. Terms and User Acknowledgement
2. REQUEST FORM
2.1 To complete the Request form, you must provide:
- Your full legal name, or the name that is associated with your medical records;
- Your date of birth; and
- Contact information, including your mailing address, phone number and email address
- Credit card information
It is your responsibility to ensure that the Personal Information provided in the Request is valid and up-to-date. MedRecords is not liable for failing to find or deliver your medical records if you have not provided accurate Personal Information.
2.2 Patients sixteen (16) years of age and older must provide consent for the release of their own Records. Please do not complete this form on behalf of a patient over the age of sixteen (16) unless you are authorized to do so by law.
3. FEES AND PAYMENT
3.1 The fee for your Request (“Fee”) may vary, depending on the quantity of Records, and whether they are stored in electronic or paper format. You acknowledge and agree that MedRecords may not be able to guarantee a particular Fee, and that the Fee may be different for each user of the Website.
3.2 MedRecords represents that the Fee will not be prohibitive and will follow industry standards.
3.3 Following the submission of a Request, MedRecords will conduct a search for your Records. If the Records are found, MedRecords will determine the Fee and deliver an invoice to you. The invoice must be paid before MedRecords will deliver your Records. Your credit card will not be charged unless payment is not made within thirty (30) days.
3.4 If the Fee is not paid within thirty (30) days of the date of the invoice, MedRecords reserves the right to charge interest at the prevailing rate and the total amount due shall be billed to the credit card on file.
4.1 You may cancel a Request within twenty-four (24) hours of the time the Request was made and no Fee will be charged.
4.2 Following the initial twenty-four (24) hour period, you may cancel a Request at any time prior to the Records being shipped from MedRecords. In such case, you will be responsible for sixty percent (60%) of the Fee.
4.3 You may not cancel a Request once the Records have been shipped from MedRecords, whether or not they have been delivered to you.
5. NO GUARANTEE
5.1 MedRecords does not guarantee that it will be able to find your Records, or any portion of them, and is not responsible for any Records that are lost, incomplete or otherwise insufficient.
5.2 MedRecords does not guarantee that your Records may be provided within a certain timeframe. If you need your Records for a particular date, you should submit a Request as far in advance as possible.
6.1 Records shall be shipped to you on an encrypted CD or similar storage device. The amount for shipping shall be added to your invoice and must be paid in advance.
6.2 MedRecords is not responsible for Records that are damaged, lost or stolen during shipping.
7.1 MedRecords has access only to those Records that have been provided by physicians. MedRecords is not responsible for any loss, damage, cost or expense that you may suffer relating to the inability to obtain, or insufficiency of, your Records.
8.1 You do not have the right to assign your rights under this Agreement. MedRecords has the right to assign any or all of its rights and obligations under this Agreement or to the Website to any third party. Provided such rights and obligations are assumed by such third party, MedRecords shall be relieved of any and all liability under this Agreement and in such event you hereby agree to release MedRecords of all liability, claims, charges, damages and causes of action.
9. ENTIRE AGREEMENT