Patients: An Overview
Instructions for Requesting Medical Information
Trenton Orthopaedic Group, P.A. has contracted Record Reproduction Services (RRS) to handle the duplication and transfer of medical information.
In order to standardize and expedite all requests for patient information please follow the steps outlined below:
Step 1 -
Complete each page of the
Medical Record Request in its entirety
Step 2 – Use the form below to calculate your payment
|Payment Calculator||Quanity (# of Copies)||Unit Cost||Payment Due|
|Medical Record - Paper Copies||$20|
|Medical Record on CD-Rom||$35|
|X-Rays and or MRI on CD-Rom||$10|
Step 3 –
Make a Payment:
Option 1 - Payment via check - make a check made payable to “Record Reproduction Services
Option 2 - Payment made Online - an invoice will be mailed to you after your request is processed.
Step 4 - Forward completed information to RRS
Please mail both pages of your completed Medical Record Request and your payment, if you do not want an invoice later, to the address below or fax directly to 484-468-1247.
Record Reproduction Services (RRS)
600 North Jackson Street, Suite 104, Media, PA 19063
Delivery of all medical records will be maid via mail or fax. Please indicate how and where you want your records sent on your request form.
All request forms must be filled out completely in order for your request to be processed.