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Annapolis Internal Medicine
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    • Home
    • Patient Portal Login
    • Virtual Waiting Room
    • Our Clinicians
    • Contact Us
    • Our Acute Care Clinic
    • Forms & Records Requests
    • FAQ's
    • Info for Medicare Pts
    • Manage Diabetes or Weight
    • Scam Alerts
    • Self-Pay Fee Schedule
    • Careers
Annapolis Internal Medicine
  • Home
  • Patient Portal Login
  • Virtual Waiting Room
  • Our Clinicians
  • Contact Us
  • Our Acute Care Clinic
  • Forms & Records Requests
  • FAQ's
  • Info for Medicare Pts
  • Manage Diabetes or Weight
  • Scam Alerts
  • Self-Pay Fee Schedule
  • Careers

requesting medicals records or downloading forms

MEDICAL RECORDS REQUESTS and PATIENT FORMS

Some of the forms listed below can be accessed through the Patient Portal and your information can be entered directly into your eChart. However, if you prefer not to use the online portal, please use the links at the bottom of the page to complete and applicable forms. You must disable your pop-up blocker for this section to work.


PLEASE NOTE:  Annapolis Internal Medicine is happy to partner with ChartRequest for processing all medical records requests.  This includes patients, other medical practices, and third-parties (law practices, insurance companies, court proceedings, etc).  Please use the link below to request records or check the status of your request.

REQUEST MEDICAL RECORDS or CHECK STATUS OF MEDICAL RECORDS REQUEST

Annapolis Internal Medicine uses ChartRequest to streamline your medical record exchange, simplify referral management, and ensure quality care coordination.  Use the link below to request medical records or check the status of a records request.  https://app.chartrequest.com/p/l/aim

MISCELLANEOUS Patient Forms

Below are some of the most frequently used forms for patients.

AIM_Authorization_to_Release_Healthcare_Information_12-06-2023 (pdf)Download
AIM Business Office Disclosure Form revised January 2024 (pdf)Download
AIM Notice_of_Privacy_Practices_12-06-2023 (pdf)Download
MVA Application for Permit Parking VR-210 7-23 (pdf)Download

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Our Acute Care Clinic in Suite 104 is dedicated to being your top choice for your acute care needs*. Click the button below for more info on appointment availability.


*The Clinic treats established patients of Annapolis Internal Medicine only.  If you are a new patient, please call our office at (410) 897-9841 to schedule.  

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