Medical Records
MEDICAL RECORDS
Dear Patient:
Thank you for contacting the Dr. Ralph Rizk Medical Records Department. To better serve you with your request for medical records, Dr. Rizk has partnered with Sharecare Health Data Services. Sharecare Health Data Services will fulfill your request for records in a safe, secure, and timely manner.
To receive a copy of your records, you will need to complete and return the attached Authorization form. Please make sure you have specific instructions included as to what records you are requesting and where you are requesting records to be sent. You also have a choice of how you would like to have your records delivered. For records to be delivered directly to you, please choose mail or email. For records to be delivered to another doctor, please choose fax or mail. Please select only one option. The fax delivery option may only be used for records going to a doctor. Please mail/fax/drop-off the completed Authorization form to Dr. Ralph Rizk.
If you choose to fax your request, please fax to (904) 619-9925. Please include a copy of your Driver’s License.
If you choose to mail request, please send to:
Dr. Ralph Rizk
Attention: Medical Records
2 Shircliff Way Suite 510
Jacksonville, FL 32204
For Records being sent to Another Health Care Provider
Please provide as much contact information for your other Doctor, including the address, phone & fax.
You can contact a Sharecare Health Data Services representative at any time by calling: 1-877-820-3914
Thank you,
Medical Records
FaQs
Your questions, answered.
If you are a patient of the Heekin Clinic, you will need to complete a records request form found here so that we may obtain your records. If you are a patient of any other clinic you may request a release form by calling their office.
We have release forms in our office; otherwise you can fax a request that includes your personal information as well as information on where records are to be sent.
Yes, we are on call 24 hours a day, 7 days a week. Call our main number, 904-731-3131 for assistance. Please note that prescriptions are refilled during office hours only.
We generally do not require a physician referral to our office for the purpose of scheduling an appointment with one of our physicians, unless this is a requirement by your insurance carrier.
While X-rays are generally not required, all MRIs or other image studies on CD or film that are pertinent to the part of body being examined need to be brought in with the patient.
With a 48-hour notice, you may call your doctor’s assistant or you may call your pharmacy and they will request a refill from your doctor. Please note that Schedule II drugs cannot be refilled by phone and require a paper prescription.
Yes and Yes. Please park on the 6th floor of the DePaul garage and call the office in advance if you require assistance getting into the building.