electronic Protected Health Information Release Authorization
Streamlined Request Process
delivered by our Online Request Portal
Including eSignature by Adobe Sign, Populating PDFs, Online Payments and more.
Choose Signing Options, Custom PDFs, Private Portals and more
The next level in medical record release of information.
New technology providing a more efficient and speedy process for medical record release of information.
Premium tools for requesting electronically.
Request information and details can be filled out electronically on a computer, tablet or mobile device.
Requests can be signed electronically using via Adobe Sign. Adobe Sign is the leading eSignature software, and fully HIPAA Compliant.
Payments can be submitted electronically via Authorize.NET. Authorize.NET is a leader in security features for online payment gateways.
Take advantage of our premium branding options such as custom PDFs, Private Portal + Custom Subdomain, and more.
POWER UP with ePHIRA
Learn more about how to streamline your request process with our electronic request portal.
How to reach us
120 South Briery
Irving, TX 75060
Email firstname.lastname@example.org Phone 972.399.0914
Toll-Free 877.PHOTOSTAT (877.746.8678) Fax 972.399.0960