To initiate getting records, submit a signed and dated Authorization for Use or Disclosure of Protected Health Information to the clinic. The form may be obtained at the clinic, or through this link:
Michigan Behavioral Consultants Release of information
After you complete and submit the form to the clinic, it is reviewed by the clinic staff and put in your file. Your request is processed by BACTES Imaging Solutions, our HIPAA Business Associate.
Some requests are processed at no charge to the requesting party (such as referrals for continuing care).
Other requests are charged a fee, in accordance with state statutes. BACTES bills requesting entities such as attorneys, insurance companies, etc. directly; patients are not billed for this work.
Patients who request records for their personal use or for transferring to another pain clinic, or similar provider, will be charged a fee. This explained in the fee for records letter available at the clinic or at above link.
BACTES processes the requests and delivers an invoice detailing the fee for the requested records. Upon receipt of payment, BACTES delivers a copy of the records to the requestor.
Please allow 7 business days after your forms have been accepted by MBC for processing and delivery of the invoice.
After 7 business days, patients with questions on the status of their request should call the BACTES center for personal medical records requests
After 7 business days, attorneys, insurance companies, etc. with questions on the status of their request should call the BACTES center for third party medical records requests (800) 560-3800.