Medical Records Request Generator

Generate a HIPAA-compliant medical records request letter ready to print on your letterhead.

Good at:
Generating a HIPAA-compliant records request letter from patient and provider details.
Not for:
Jurisdiction-specific compliance — state law and provider requirements vary, review before sending.

Starting template only. State law and provider requirements vary. Review against your jurisdiction before sending.

This tool is different from most of ours: to generate a usable letter, the form fields (including patient name, DOB, and address) are transmitted to Anthropic’s API. We don’t log the content, and Anthropic doesn’t train on it. If you want to test the tool without PHI, use placeholders like [PATIENT], [DOB], [FIRM] , the letter will come back with those placeholders intact for you to fill in locally. How Prevaldi handles your data →

Use real info for a usable letter, or placeholders like [PATIENT] to test the format first.

Signed HIPAA authorization, referral, prior correspondence. PDF, image, Word. Up to 3 files, 10 MB each.

Output will appear here once the tool runs.

[ See it work ]

A HIPAA-ready request letter

prevaldi.com/legal/records-request
A short walkthrough · no audio

Questions people ask first