VitalChart® Virtual ROI Portal
Provide Authorization Information
Review & Submit
Include visits from today or yesterday?
May delay processing by 2 days.
NOTE: Physical Therapy records are NOT available via this request.
The following information will not be released unless specifically authorized by checking the relevant box(es) below:
Information pertaining to mental health diagnosis or treatment
Information pertaining to drug and alcohol abuse, diagnosis, or treatment
HIV/AIDS test results
Genetic testing information
Delivery options will appear here once you've selected the records you'd like to receive.