Patient Forms
Please fill out the forms in their entirety and return them:
Consents to intake@covellcare.com OR
Give them to the Covell Care representative at your first appointment
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Covell Care and Rehabilitation will provide uninsured or self-pay individuals with the availability of a Good Faith Estimate (GFE) of expected charges upon scheduling a service or upon request.
Patient Instructions for Medical Record Requests
HealthMark Group is a trusted provider that helps practices like ours manage the release of medical records. We chose to partner with HealthMark to streamline the process and get you your records faster and more efficiently.
How do I request my medical records?
Click on the button above. Once you enter your email, you’ll receive an email with HealthMark to log in (no username or password required!). Click on the “submit request” button and follow the prompts from there. You’ll receive an email as soon as your records are available for download.
Do I have to remember another username and password?
Nope! HealthMark’s Request Manager uses email verification and secure links to get you your records quickly, efficiently, and securely – and without yet another username and password to remember!
How long does it take to process requests?
Most record requests are processed within 8 business hours. So, one or two business days after you submit your request, your records will be delivered electronically, right to your inbox.
Any questions?
You can see the status of your request at any time inside Request Manager. If you have any other questions, feel free to reach out to HealthMark at 800-659-4035 or status@healthmark-group.com.
Make a Venmo payment
Pay Your Bill
Scan QR code to open Venmo and make your payment.
*Include Statement # and Patient Name.
Venmo Business Name: @covellcare
Make a PayPal payment
Scan QR code to open PayPal and make your payment.
*Include Statement # and Patient Name.
