icon-accordion-downicon-adulticon-arrow-righticon-arrow-righticon-communityicon-disabilitiesicon-newicon-transportation
Skip to main content

Client Information Hub

Click the sections below to access your patient portal, request a copy of medical records, and more.

Click here to access your CEHR Patient Portal

What are medical records?

Medical records contain personal health information and are used to diagnose, treat and bill for medical services.

How do I request a copy?

To request a copy of medical records, you must first complete an authorization to release records form, and then submit it to our medical records department. It will then be processed and subjected to medical records release fees.

Authorization Form:

To authorize the release of medical records, please download and fill out our Release of Information Authorization Form. After completing and signing, please submit by emailing or faxing the form to our medical records department.

How to contact Medical Records:

medicalrecordsrelease@hopenetwork.org
Fax: (616) 389-2745
Phone: (616) 301-8000 ext. 12343


Medical Record Release Fees:

Clients: No charges for copies of medical records.

Workers’ Compensation:

  • $0.45/ per page, plus:
  • First 0-15 minutes of document retrieval: $2.50
  • Each 15 minute increment after: $2.50/increment (i.e 30 minutes would be $5 for document retrieval)
  • Postage and/or supplies: Actual cost

3rd party:

  • Initial Fee $25.64 plus:
  • 0 – 300 pages $11.00
  • 301 – 600 pages $17.50
  • 601 – 900 pages $24.00
  • 901 – 1200 pages $30.50
  • 1201 – 1500 pages $37.00
  • 1500+ pages $43.50

Rates will be adjusted annually according to the Medical Records Access Act Fees

Notice of Privacy Practices:

Download Here

Privacy Contact Information:

If you have any questions or concerns regarding your privacy or confidentiality, you may call our Compliance Hotline at 866.835.6854 or contact the Corporate Healthcare Compliance & Privacy Officer below:

Hope Network – Healthcare Compliance & Privacy Officer
3075 Orchard Vista Drive SE Grand Rapids, MI 49546
Email: privacy@hopenetwork.org
Office Landline: (616) 301-8000 ext. 12115
Mobile Phone: (616) 260-8205

Follow us