Medical Records

South Bend Orthopaedics has teamed with Sharecare Health Data Services to fulfill requests for medical records. This includes all information related to your treatment with our providers, imaging such as x-rays and MRIs, and billing information.

How to Request Your Medical Records

South Bend Orthopedics is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices. If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.

Complete patient online access form. This form is exclusively for patients and legal guardians requesting a copy of their own medical records.

Complete requester submission portal. This option is for healthcare providers, attorneys or those who are requesting the medical records of someone other than themselves, and they are not the legal guardians.

Paper Authorization Form: If you are unable to complete the electronic form above, you can print and complete the paper form below. The authorization form must be legible and complete. Please note the processing of records is faster using the online form above.

Records are usually available within 10 days from the time the request is received. If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate that on the authorization form, and ask them to bring their government-issued ID.

Only the patient, parent/legal guardian, or the patient’s legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/ Conservatorship. Once completed, you can return the form:

By Fax: 574-247-9442

By email: SBOrtho@sharecare.com

By mail: South Bend Orthopaedics, Attn: Medical Records, 53880 Carmichael Drive, South Bend, IN 46635

Frequently Asked Questions

Who can request medical records?

Only the patient or a parent/legal guardian can sign the Authorization to Release Protected Health Information form. If you are requesting medical records on behalf of a patient or acting as the patient’s representative, please include a copy of the patient’s Durable Power of Attorney for Healthcare/Conservatorship with the Authorization Form.

How long will it take to receive my records?

If you requested your records online, your records will be ready in 3-5 business days from the receipt of your electronic request.

How do I check the status of my request?

You can go to https://recordstatus.sharecare.com.

How do I talk to someone about my request or the request process?

You may contact ShareCare Customer Service at (858) 244-1811.

Contact an SBO Medical Records representative by calling 574-247-9441, Monday-Friday, from 8:00am-5:00pm EST (closed major holidays).

Contact ShareCare Support via a live chat: hds.sharecare.com/contact-us/

Can I pick up my records in person?

Records can be emailed or mailed – they cannot be picked up at any of our facilities.

What if I am completing the authorization form for my FMLA or disability paperwork?

A paper authorization form must be completed and sent to the SBO representative helping you with your paperwork, not to Sharecare. Not sure who you need to talk to about your FMLA or disability paperwork? Contact SBO’s Medical Records Department at 574-247-9441 assistance.