At Valera Health, we’re committed to protecting your privacy and making it easy for you to access your medical records when needed. Below you’ll find step-by-step instructions for submitting a request, information about what’s required, and how long processing typically takes.

A Release of Information (ROI) form is required under HIPAA (Health Insurance Portability and Accountability Act) regulations. This ensures that your health information is only shared with your explicit, written consent. The ROI protects your privacy and ensures that Valera Health complies with federal guidelines when releasing any part of your medical record.

To help us process your request as quickly and accurately as possible, make sure the ROI form includes the following:

Patient Information:
Full name
Date of birth
Contact information


Recipient Information (where records should be sent):
Name of recipient (yourself or a third-party entity)
Recipient’s contact information
Preferred delivery method (email, fax, etc.)


Details of the Request:
What records are being requested (e.g., all records, records from specific dates, a specific letter or provider communication)
Purpose of the request (e.g., continuity of care, personal use, legal, etc.)


Authorization Validity:
Length of time the authorization is valid (e.g., one year, five years, etc.)


Signature:
Signature of the patient or authorized legal representative
Date of signature

Requests are typically processed within 15 business days.

However, depending on volume and complexity, processing may take up to 30 business days.

Tip: To help expedite the process, please notify your provider(s) in advance of your request. This allows them to prepare and ensure timely fulfillment once your ROI is submitted.

If you have any questions or need help with your request, our team is here to support you.