Patient Request Link
It’s easy to request a digital copy of your medical records. Click below to complete your request online from any device and your records will be delivered right to you – no need to go and pick them up!
Provider Record Requests
Our paperless request process does not require a login, but uses email verification for enhanced security. No faxing, scanning or printing will save you time.
Please use a recent version of Chrome, Firefox or Safari.
Legal/3rd Parties Medical Record Requests
This request tool is for attorneys and other 3rd parties who need to access the medical records of their clients, patients, or loved ones. The tool allows you to submit a request online and track its status. You can also upload any supporting documents or authorization forms that are required. The tool is designed to make the process of requesting medical records easier and faster for you and your recipients.
For new users, here's how you get started.
1. Select the specific retention period that you are requesting the medical records to be stored
2. Complete the enrollment form in its entirety. A few things to know: a. The ‘contact name’ will be the Administrator of the account b. The address should be where the medical records are sent, reflected on the request letter from your company
3. Email the completed enrollment form to SmartRequest@cioxhealth.com
4. You will be notified via email when your account has been updated
Phone: (801) 429-8062
Fax: (801) 374-2615
Mail: Revere Health Release of Information - 1055 N 500 W, Provo, UT 84604