How can I receive a copy of my medical records?

If you would like a copy of your medical records, please fill out the correct HIPAA Authorization of Confidential Information Form in full and email it back to us at recordrequest@talkspace.com. Note, the request may take up to thirty (30) days to be processed.

If you are requesting these records to be released to yourself, fill out the “Individuals’ Authorization for Release of Confidential Information” form.

If you are requesting these records to be released to a third party, fill out the "Third Party Authorization for Release of Confidential Information" form.

We ask that you ensure the following when submitting the form to us to avoid additional delays: 

  • All writing and responses are clear and legible. 
  • The information is protected by providing either a "wet" signature or an electronic signature using software that also assigns a digital timestamp (i.e. Docusign).

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