Medical Record Authorization
For Patients
Please Note:
All medical records requests require a signed Release of Medical Information (ROI) form.
An office visit is required for all FMLA, Disability, and Asthma Action Plan form fillout requests. Please call us to schedule.
Medical Records Requests
To request a copy of your medical records from Aspire Allergy & Sinus at no charge, please click the button below and follow the instructions. HealthMark is our contracted, 3rd party solution that works with Aspire to streamline the patient medical records request process.
Checking the Status of Your Request through HealthMark
Please allow up to 15 days for request to process. If you have not received your medical records by then, check the status of your request by contacting HealthMark Group directly by emailing status@healthmark-group.com or by calling 1-800-659-4035.
Urgent Requests
For Urgent 3-Day Requests, visit or call your local Aspire Allergy & Sinus Clinic. Aspire Allergy is currently unable to process same-day requests at this time.
Note: All Urgent Records Requests must be picked up in-office.
Fee Schedule for Urgent Requests:
- Medical Records Request (10 pages or less) - $25
- CT Scans with Report - $15
For requests of your full medical file (or records over 10 pages), we kindly ask that you request this information via Healthmark, as they will be able to process this for you at no charge.
Form Fillout Requests - FMLA, Disability, Asthma Action Plans
FMLA Forms/ Disability Forms:
Due to the nature of these forms, your provider will need to ask you some questions to complete them. For this reason, we ask that you schedule an office visit. Should your provider need more time to complete these forms, you will be contacted within 5 business days.
Fee For FMLA/Disability Form Fillouts - $50
Asthma Action Plans:
These forms require an office visit to be filled out correctly. These will be completed during your office visit, at no charge.
If You Are Requesting Your Medical Records Be Sent to Aspire
If you are a new or established patient with Aspire Allergy & Sinus and want your medical records transferred from an outside provider to Aspire for continuing care, the form below is available for your convenience. Please fill out the form and email it to medical.records@txna.onmicrosoft.com or fax it to 877-891-0383.
For Providers, Insurance Companies, Attorneys, APS Services or Disability Services
Please Fax or Mail your request to our Medical Records Department:
Fax: 877-891-0383
Mailing Address:
Aspire Allergy & Sinus Headquarters
Attn: Medical Records Dept
5929 Balcones Dr
Austin, TX 78731
Need to Send Other Documents?
For New Patient Referrals: fax to 855-765-1460
For Medical Records: fax to 877-891-0383 Or Email to medical.records@txna.onmicrosoft.com
Notice
We understand how important your medical records are to your health and continuing care. If your provider has merged with Aspire, your medical records may need to be retrieved from their Electronic Medical Records System. Should any issues arise with obtaining your records, you will be notified.
Please understand that any request for records 7 years or greater may not be obtainable due to state guidelines.