Medical Records

South Bend Orthopaedics has teamed with Sharecare Health Data Services to fulfill requests for medical records. This includes all information related to your treatment with our providers, imaging such as x-rays and MRIs, and billing information.

How to Request Your Medical Records

Online: You can complete your medical records request online by filling out the embedded form below. Start by clicking on the button that says, “Ok, Let’s Go!” You will be required to provide a valid email address and government-issued ID. This is to protect your health information and verify your identity. If you are using Internet Explorer, you will need to save a jpeg copy of your ID to your computer/device. Internet Explorer is unable to connect to any webcam devices. This link is intended to be used by patients only.

Paper Authorization Form: If you are unable to complete the electronic form, you can print and complete the paper form by clicking here. Once completed, you can return the form:

By Fax: 574-247-9442

By email: [email protected]

By mail: South Bend Orthopaedics, Attn- Medical Records, 53880 Carmichael Drive, South Bend, IN 46635

Frequently Asked Questions

Only the patient or a parent/legal guardian can sign the Authorization to Release Protected Health Information form.  If you are requesting medical records on behalf of a patient or acting as the patient’s representative, please include a copy of the patient’s Durable Power of Attorney for Healthcare/Conservatorship with the Authorization Form.

Your request will be processed within seven to ten business days.  If you choose to have your records mailed, please allow adequate time for the postal service to deliver your information (in addition to the seven to ten business days).

Contact a Medical Records representative by calling 574-247-9441, Monday-Friday, from 8:00am-5:00pm EST (closed major holidays).

Records can be emailed or mailed – they cannot be picked up at any of our facilities.

A paper authorization form must be completed and sent to the SBO representative helping you with your paperwork, not to Sharecare.  Not sure who you need to talk to about your FMLA or disability paperwork?  Contact SBO’s Medical Records Department at 574-247-9441 assistance.

Our Locations

We see referred patients at the following locations. All offices are open Monday–Friday, 8AM–5 PM and can be reached by calling 574-247-9441.