Do you prepare disability forms, special reports, insurance forms and medical-legal letters?
- In accordance with the general policy of this area, a fee is charged for the preparation of special letters to insurance companies, lawyers, and other third party clients. Payment of fee is required prior to completion of the form(s).
- All forms and reports require you, the patient, to give Hand to Shoulder Center of Wisconsin written permission to release personal medical information. Authorization forms are available at Hand to Shoulder Center of Wisconsin upon request, or can be accessed online: Authorization for Release of Medical Records.
- Once a requested form or report has been completed, you may choose how you would like to receive it. Depending on the document and circumstances, completed forms may be provided by: mail, fax, patient portal, email, Text/SMS, or In-person pick up.
How do I get a copy of my medical records?
- A medical records release form is required to obtain a copy of your medical records. Access the Authorization for Release of Medical Records here. Prepayment is required for records exceeding twenty pages for personal use. Please contact our office at (920) 730-8833 or toll free at (888) 383-3039 for more information or fax your completed Release of Medical Records form to (920) 738-1974.
What if my insurance company or attorney needs a copy of my medical records?
- All requests for medical records must be submitted in writing along with proper authorization. Access Authorization for Release of Medical Records here. Medical records requests can be faxed to (920) 738-1974 or mailed to our office at:
Hand to Shoulder Center of Wisconsin
2323 N. Casaloma Drive
Appleton, WI 54913
- Please include your mailing address on your request. If you have questions, please call our office for more information at: (920) 730-8833 or (888) 383-3039.