Medical Record, Documentation & Consultation Requests

Providing a new way to care for our patients beyond the evaluation.

Thomson Memory & Attention is introducing a new way to make requests for medical records, documentation, and follow up consultation sessions with your Thomson provider. Below is a description of each type of request in addition to a request form and our online payment portal for each request.



The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge. HIPAA states that your medical record will be retained for 6 years beyond the date of service. Medical records can be requested from Thomson that fall in this 6-year window.


Medical Records can be released to the following:

  • A parent or guardian of a recipient who is under 12
  • The recipient, if he or she is at least 12
  • A parent or guardian, if the recipient is at least 12, but under 18, and is informed and does not object or the provider does not find compelling reasons for denying the access
  • The guardian of a recipient who is 18 years or older
  • Any entity or individual granted access by an executed ROI by the recipient

  • Medical Record Request

    You can make a Medical Record Request when you need a copy of your Thomson medical file and report. You can receive your Thomson Medical Record by email or mail. Please indicate your preferred delivery choice on the Request Form and provide either the correct email or mailing address. The fee for a Medical Record Request is $20 for each. Medical record requests that are more than 20 pages will incur additional charges.


    Please note that Thomson Memory & Attention will store records for up to 7 years after the date of service.

  • Documentation Request

    You can make a Documentation Request when you have a document or form that you need your Thomson provider to complete. You will be asked to upload this document to our Request Form in order for the doctor to complete. Please include any and all instructions for the form. Each document will incur a $50 charge.

  • Consultation Request

    You can make a Consultation Request when you are interested in discussing your Thomson evalutaion further with your Thomson provider. These additional consultations will be charged $75 for each additional 15 minutes. Please include a brief description of the purpose of the consultation in the Request Form "Additional Comments" section. Upon receiving the Request Form, our scheduling team will reach out to schedule the additional consultation(s).

Request Form

PAYMENT PORTALS

Pay a Medical Record Request below:

Pay a Documentation Request below:

Pay a Consultation Request below: