(preferred option)
Fillable order form to fax or e-mail back to us.
If you'd rather not use a form, you may also email your order details directly to us at order@larecordscopy.com.
For subpoena orders, please include with your email:
• List of locations you want subpoenaed
• Type of records you are requesting
• Records subject information (DOB, SSN, AKAs)
• Case Caption
• Service List
For authorization orders, please include with your email:
• List of locations you are requesting records from
• Type of records you are requesting
• Records subject information (DOB, SSN, AKAs)
• Signed HIPAA authorization
If you need a sample HIPAA compliant authorization, please click here
We just need the information for the records request however you prefer to provide it to us.
Please select what method is easiest and best for you. We will take care of the rest!
Please Note: We currently are not accepting assignments from individuals. Only business to business assignments from law firms, risk & claims management agencies, hospitals, insurance companies, etc. will be accepted at this time. We apologize for any inconvenience.
