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Preferred
Online Order Form
Submit your request through our online form so our team receives the complete, accurate information needed to get started.
Start an Online OrderHow would you like to order?
Business-to-business service: We currently accept assignments from law firms, risk and claims management organizations, hospitals, insurance companies, and other professional organizations. We are not accepting assignments from self-represented individuals at this time.
Fillable PDF Form
Download our fillable order form, complete it, and return it to us by fax or email.
Open PDF Order FormEmail Your Order
Prefer to begin by email? Please send the information requested below and our team will help with what is needed next.
order@larecordscopy.comEmail Submissions
What information should you include?
Subpoena Requests
- List of custodians/witnesses to be subpoenaed
- Types of records needed
- Records subject's name, date of birth, aliases, and identifying information
- Case caption and current service list of parties
HIPAA Authorization Requests
- List of facilities/custodians you need records from
- Types of records needed
- Records subject's name, date of birth, aliases, and identifying information
- A properly completed and signed HIPAA authorization
Sensitive information: When transmitting Social Security numbers, medical information, signed authorizations, or other confidential documents, please follow the secure-transmission requirements of your organization.
