Records Requests Thank you for choosing Passport Health. For records requests, please fill out the form below. For other inquiries, please visit our Contact Us page.Are you a corporate client?* Yes No Name*Phone Number*Email* Zip Code*Last Date of Interaction with Company*CommentsTo obtain your records, please visit mypassporthealth.com and register to create a new account, or login if you already have an account. If you need to create your mypassporthealth.com account, ensure your information (i.e. Name, Email and DOB) that is entered is the same information used for your clinic or on-site event visit. If your information matches, records will show up in your My Passport Health account within the next 5 minutes. You may need to log out and log back in to see the records after a couple minutes, if you still are not able to see your records.CommentsThis field is for validation purposes and should be left unchanged. Δ
