If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.
Online Medical Records Request Form
or Download the Medical Records Request Form
Check the status of my request
Pay for records and/or radiology images
Completed medical records forms can be faxed or sent via USPS as follows:
- Requests should be faxed to your doctor’s office. MANA Fax Number Directory
- Mail: MANA Clinic Directory
ALLOW TEN (10) BUSINESS DAYS FROM THE DATE OF RECEIPT FOR MEDICAL RECORDS PROCESSING
Records are usually available within ten (10) days of receiving the request. If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate that on the authorization form and ask them to bring their government-issued ID.
Medical Associates of Northwest Arkansas (MANA) has partnered with Sharecare to fulfill your requests for records. MANA is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.
Sharecare Q & A
Who can sign the form to release medical records?
Only the patient, parent/legal guardian, or the patient’s legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/ Conservatorship.
When will my online medical record request be ready?
Your records will be ready in 3-5 business days from the receipt of your electronic request.
How do I check the status of my request?
Go to https://recordstatus.sharecare.com
How do I pay for my records and/or radiology images?
Go to: https://payonline.hds.sharecare.com/
How do I contact Customer Service?
You may call: 858-244-1811
Or
Contact Support for live chat: https://hds.sharecare.com/contact-us/