Evolve Medical Records
Access Your Teen’s Treatment Records Securely
Request Records
Follow these steps to complete your request. You’ll need your 4-digit request ID to upload the signed form.
- Step 1: Complete the ROI form linked below
- Step 2: Complete electronic signature process
- Step 3: Print form and have your teen sign by hand
- Step 4: Upload the completed and signed form using link below
Need Help?
If you have questions our medical records team is here to help.
Phone: (877) 514-6934
Request Medical Records
Evolve’s Medical Records Department is here to help you request treatment records and complete the required authorization process. To protect client confidentiality, we require a completed and signed Release of Information (ROI) authorization form before releasing records. Follow the steps below to complete your request.
What Are Medical Records?
Medical records are clinical, medical, or therapeutic documents related to a client’s care that are maintained by Evolve Treatment Centers. These records contain protected health information (PHI).
What Is Evolve’s Medical Records Policy?
Evolve strives to maintain the highest level of client confidentiality and HIPAA standards. Mental health and substance use treatment records are highly confidential and protected by law because of the sensitive information they contain.
To request medical records, you must complete and submit a signed Release of Information (ROI) authorization form to Evolve’s Medical Records Department. The form must be completed in accordance with state and federal regulations. We cannot release these records without explicit written authorization.
The ROI must include:
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The client’s full legal name and date of birth
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Contact information for the person or organization receiving the written records
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The purpose of the disclosure
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The client’s signature
How to Request Medical Records
Evolve is committed to protecting client confidentiality and maintaining HIPAA standards. Mental health and substance use treatment records are highly confidential and protected by law.
To authorize the release of records, you must complete and submit an ROI form to Evolve’s Medical Records Department in accordance with applicable state and federal requirements.
Step 1: Complete the ROI Form
Complete the Release of Information (ROI) Form
Complete the form in its entirety, including:
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The client’s full legal name and date of birth
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Contact information for the person or organization receiving the records
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The specific records you are requesting
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The purpose of the request
Be as specific as possible when selecting the records you want released and explaining the purpose of your request. This helps our team process your request efficiently. Incomplete forms will delay processing.
Step 2: Complete the Electronic Signature Process
After completing the online form, you will receive an electronic version for all required parties to sign. Follow the instructions provided to complete the electronic signature process.
You will also receive a 4-digit request ID. Save this ID, as you will need it to submit the signed form.
Step 3: Print the Form and Obtain the Minor Client’s Handwritten Signature
Print the completed form and have the minor client sign it by hand.
The minor client’s signature must be handwritten. This step is required in addition to the electronic signature process.
Step 4: Upload the Completed and Signed Form
Once you have obtained the minor client’s handwritten signature, upload a digital image of the completed and signed ROI form using your 4-digit request ID.
When Will I Receive the Records?
Once Evolve’s Medical Records Department receives your completed and signed ROI form, your request will be processed. It may take up to 10 business days for records to be sent.
Records may be sent by fax, encrypted email, or certified mail, if preferred.
Our team will do its best to send records as soon as possible. If there are special circumstances or a time-sensitive need, please inform the Medical Records Department so we can do our best to meet your needs.
Contact the Medical Records Department
If you have questions about the form or the request process, please contact us.