You may occasionally need to request or authorize sharing your health records to support an insurance or disability claim, legal case, or, most commonly, the smooth continuation of your care between providers.
Key Points
A completed HIPAA Authorization or Release of Information (ROI) form is required to share your protected health information (PHI).
For most requests, start by messaging your provider through your client portal — they may be able to fulfill the request directly.
If your records need to include dates of service, medical codes, or your provider's signature, the Grow Therapy Records Team must prepare them.
If your provider is no longer on the Grow Therapy platform, contact the Records Team directly to submit your request.
Please allow up to 30 days for processing.
Start your records request
1) Message your provider
⚠️ Important: If your provider is no longer with Grow Therapy, skip to step 2 and submit your request directly to the Records Team.
Send a message to your provider through your client portal to start the process. Let them know the reason for your request and attach a completed authorization form (included below). Your provider can help determine what information should be authorized for release.
Depending on the type of records you need, your provider may be able to send the information directly without any additional steps. If your request requires dates of service, medical codes, or a provider signature, you'll need to involve the Records Team (see step 2).
2) Contact the Records Team
If your request requires records that include dates of service, medical codes, or your provider's signature — or if your provider is no longer on the platform — the Grow Therapy Records Team must prepare your records. To start the process, email the details of your request along with a completed authorization form to records@growtherapy.com.
🌟 Note: If you haven't heard back from your provider within one business day and you're unsure whether a Records Team request is needed, contact the Support Team for help using the Help Widget in your client portal.
Completing the required form
Whether your provider or Grow Therapy is releasing your records, a completed HIPAA authorization form (sometimes called a release of information or ROI form) is required to share your protected health information (PHI). Please complete all sections of the form attached below to ensure timely request processing.
Information on the various sections of the form is outlined below:
Patient information
Patient information
Enter your name, date of birth, email address, and phone number. Be sure to use the email associated with your Grow Therapy account.
Party authorized to disclose
Party authorized to disclose
Grow Therapy is the authorized party to disclose.
If you are only seeking records from treatment with a specific provider, list that provider’s name (optional).
Recipient(s)
Recipient(s)
List yourself as the recipient to obtain a copy of your records for personal use.
If you want your records sent to a third party, such as another provider, an insurance company, or an attorney, list them as the recipient and include their best email address or fax number.
Information to disclose
Information to disclose
Date(s) of Service/date range: Specify which dates will be included in the released records.
Type of records: Check the appropriate boxes to indicate the type(s) of records you authorize for release.
Release purpose
Release purpose
Under "Release purpose," check the box that best applies.
Expiration
Expiration
This authorization is effective immediately and expires one year from the date of signature, unless an alternate expiration date is specified. If you want a different expiration date, write it in the space provided.
Signature
Signature
As this is a legal form, the patient or their authorized representative must sign with either a physical or verifiable electronic signature.
If signed by someone other than the patient, specify the printed name and legal relationship to the patient. Document(s) demonstrating legal authority (i.e., healthcare POA) must be provided along with this form to avoid processing delays.
Submit your request
Submit your completed ROI form and request details either:
To your provider directly via your client portal, or
To the Records Team by emailing records@growtherapy.com
Please allow up to 30 days for processing. You won't receive an automatic confirmation email when your request is received. If you have questions about the status of your request after submitting, feel free to follow up directly with the Records Team at the email above.