Prognocis Patient Portal
Prognocis Patient Portal is a secure online patient portal that allows Flexogenix, Inc. patients to see portions of their electronic medical record as they receive care from Flexogenix Providers. Patients can request an account at the link above to gain access to radiology results, treatment recommendations, encounter notes, and limited billing information at no charge.
How to Make Certain Requests Regarding your Medical Record
You may make the following requests to us concerning your protected health information (PHI), but must do so in writing. The best way to make your written request is to click on each request you want to make from the links below, which will allow you to access our form(s). You may also call us, at any of the below listed numbers, to request that we provide you with a copy of the forms you need to make your requests. These numbers are for medical records release ONLY. If you would like to speak to someone about any other issues, please call the office directly. You should then complete, sign, and submit your request form(s) to us in any of the following ways:
1. Fill in your Authorization form: The authorization form can be obtained from any Flexogenix, Inc. location (Atlanta, Cary, Charlotte, Greensboro, Los Angeles, or Oklahoma City) or you can download a copy from the link: DOWNLOAD AUTHORIZATION FORM (PDF)
2. Sign and return your completed form via:
E-mail: Simply scan and attach your completed Authorization Form to: firstname.lastname@example.org
Mail and/or Drop Off: Please send your completed Authorization Form to one of the offices listed below that is closest to your current location.
Please add “ATTN: RELEASE OF INFORMATION” to the front of envelope
(404) 973 – 2409
4600 Roswell Road
Atlanta, GA 30342
Cary/Raleigh, North Carolina
(919) 525 – 3142
400 Ashville Avenue Suite 330
Cary, NC 27518
Charlotte, North Carolina
(704) 445 – 5196
6836 Morrison Blvd. Suite 101
Charlotte, NC 28211
Greensboro, North Carolina
(336) 814 – 9422
1414 Yanceyville St Suite 200
Greensboro, NC 27405
(213) 572 – 6645
1000 South Hope Street Suite 101
Los Angeles, CA 90015
Oklahoma City, Oklahoma
(405) 259 – 1864
9300 North Kelley Ave.
Oklahoma City, OK 73131
Please note that the email you send to us may not be secure, and as a result, your personal information in the form may be exposed during transmission or while it resides in your email account or on your computer. For that reason, you may prefer to mail or fax your request form to us
Obtaining a Copy of Your Medical Record
You have the right to request to see and receive a copy of your PHI contained in clinical, billing and other records used to make decisions about you. We may charge you the following fees when you request your records for your own personal use:
- First request of medical records is at no charge
- Second and any additional requests thereafter will be at a flat fee of $10.00
All records will be uploaded to a password protected flash drive. This will be for the patient to keep and will not need to be returned. Please keep in mind, that if and/or once the password has been changed, Flexogenix, Inc. will not have a record of the updated password. If the patient or party can not access the records due to a password change, Flexogenix, Inc. will issue another flash drive, but this will incur the cost(s) above.
If you live more than 60 miles, or 2 hours away, from any office, Flexogenix, Inc. will mail the flash drive to the address listed on the authorization form via certified mail. A separate letter will be mailed 2 – 3 business days after mailing the drive. This is to ensure the receipt of the protected health information is not accessible by anyone other than the party that is requesting the records.
Your medical records will be processed in house by our Flexogenix Medical Records team within 7 days of receipt of your completed authorization form. The invoice for payment will be received along with your medical records. Payment is expected upon receipt.
You can pick up your records upon notification that they are ready at the requested location of the patient.
You may request that we restrict the use and disclosure of PHI about you, but we are not required to agree to your requested restrictions except in limited circumstances further described in our Notice of Privacy Practices.
You may request how and where we contact you about PHI. We will accommodate reasonable requests, but, when appropriate, may condition that accommodation on your providing us with information regarding how payment will be handled and your specification of an alternative address or other method of contact.
You have the right to request that we make amendments to clinical, billing and other records used to make decisions about you. We will evaluate and determine whether it is proper to comply with your request, and we will notify you in writing of whether we complied with your request. Typically, your request will be processed within 60 days of receipt of your completed request form. We will let you know in writing if there is a delay.
You have the right to receive a written list of certain disclosures we have made of PHI about you. If you request a list of disclosures more than once in 12 months, we can charge you a reasonable fee. Typically, your request will be processed within 60 days of receipt of your completed request form. We will let you know in writing if there is a delay.
You can find detailed information about your privacy rights as our patient, and how to exercise them, in the Flexogenix Notice of Privacy Practices