Medical Records
Dear Patient,
There will be a charge for physical copying medical records requested for yourself or to be given to another provider. The amount is set and allowable by the state of Ohio. If you provide us with a written signed request from you, will can fax them directly without charge.
HIPAA Release Policy
To obtain your medical records from the Ohio Ear Institute, and protect your health privacy information, we require you to provide us with a signed HIPAA release form.
Please fill out the form, to include your current mailing address, the contact information for your new health provider that you would like your records faxed to (you must provide the fax number to us)
Please specify if you require your most recent clinically relevant records, or a complete copy which includes your billing records. The later option can be several hundred pages and as such can only be provided on an encrypted flash drive. There is a flat $35 processing fee to provide complete medical records.
We will maintain your records as required by law, however as the practice is now closed, be advised it may take some time to retrieve and send your records. We appreciate your understanding.
To expedite getting your records, please download the HIPAA form on this page below, fill it out, and email it to us at records@ohioear.com. Or you can fax it (both sides) to 614-839-9174.
After November 30, 2025 your records can be obtained by calling Beth at (614) 759-8811 ext. 301, to make that request, and provide them with the signed HIPAA form.
Complete Records Payment
We will begin mailing out complete medical records starting Nov 30, 2025 to the address you specified, after receiving your payment (please see Ohio Department of Health Records fees ), which we will obtain by contacting you at the number you listed on your HIPAA release form.
Ohio Ear Institute HIPAA release form
Please click here to download the release form. For any further questions, please contact us at records@ohioear.com
