To request a copy of your medical records from our medical records department, download and complete the Medical Release Form.
(920) 496-4737 or mail to Prevea Health Services, Attn: Records Release, P.O. Box 19070, Green Bay, WI 54307. Typical processing time for medical record requests is 7-14 business days.

How to Request Your Prevea Medical Records
To request a copy of your medical records from our medical records department, download and complete the Medical Release Form. Contact Prevea Record Release at (920) 496-4783 for more information.
How To Request Radiology Images
For radiology records, please fax the above form to (920) 272-1529 or call (920) 272-3316. Typical processing time for medical record requests is 7-14 business days.
How to Transfer your care to Prevea
Follow these steps when requesting records from other facilities:
- Obtain an authorization form from the facility where you currently obtain care
- Complete all fields of the authorization form
- Return the form to the facility for processing
OR
We can help! Complete our authorization form and provide your doctor’s name, and we will work with your health care facility to obtain your records.
View your health records from your computer or mobile device with MyPrevea. A free, online personal health record that you can securely access from your home computer, laptop, mobile device, or smartphone.
