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Transferring Your Medical Records

Your medical records are confidential and protected by law. If you would like your records transferred to a new provider or sent directly to you, please follow these steps:

Complete the Authorization Form

  • Visit the and login with your Kent State email address and password.
  • Once signed into the portal, select Forms.
Screenshot of the main page of the patient portal with "forms" highlighted
  • Once in the forms, select the Release of Protected Health Information form.
Screenshot of the forms page - specifically highlighting the Release of Protected Health Information form
  • Fill out all information on the Release of Protected Health Information form and submit the form.
    • To transfer records to a new provider, include the provider's name, address and phone number.
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