How to Request Medical Records for an Inmate at Frank Lee Work Release

To request medical records for someone housed at Frank Lee Work Release, you'll need the official ADOC inmate health-records authorization form. This form documents permission to release protected health information. The inmate (the

The authorization form lets you choose which parts of the health record you need - you don't have to request everything. Options include admission reports, discharge reports, X-ray reports, operative summary reports, special studies reports, laboratory reports, immunization history, mental health reports, psychiatric summary reports, drug/alcohol history and counseling, HIV status and treatment, and sexually transmitted diseases status and treatment. There's also an "other" line for anything not covered by the checkboxes, plus a space to specify the date range for the records you want.

Some health information requires expressed consent on the ADOC form because it's treated as especially sensitive. This includes HIV (AIDS virus), sexually transmitted diseases, psychiatric/mental health conditions, and drug or alcohol use/treatment. If you need any of these categories, read the consent language carefully and make sure the authorization clearly covers what you're requesting. These aren't handled the same way as routine records like lab reports or immunization history.

Keep timing in mind. The ADOC authorization is valid for one year from the date it's signed. The inmate can revoke it at any time by providing written notice to ADOC, the health contractor(s), or the institution - though revoking won't undo disclosures already made.

Plan for possible costs. State law allows ADOC to charge a reasonable fee to produce health records. If you're requesting a large set of documents or a long date range, expect to pay something before the records are released.

Practical Filing Steps

• ✓ Use the official ADOC health-records authorization form (signed by the inmate or a legally authorized representative)
• ✓ Inmate’s full name (as used by ADOC)
• ✓ Inmate AIS number (if you have it)
• ✓ Institution listed as Frank Lee Work Release
• ✓ Records requested: check the specific categories you need (and write in “Other” if needed)
• ✓ Date range for the records (“From” and “To” dates)
• ✓ Recipient details: name/agency and mailing address for where the records should be sent
• ✓ Purpose of disclosure (as listed on the form)
• ✓ Signature and date (and, if applicable, the authorized representative’s relationship and authority)
• ✓ Follow any additional instructions printed on the form before submitting

1. Get the correct signature - Have the inmate sign the ADOC authorization form, or have a legally authorized representative sign with their relationship/authority indicated.
2. Select exactly what you need - Mark the record types and the date range so the request is clear and limited to what you’re asking for.
3. Submit the request as the form directs - Send the completed authorization to the appropriate ADOC/health contractor/institution contact listed in the form instructions.
4. Be ready to pay a reasonable records fee - ADOC may charge a fee allowed by state law for producing the records.
5. Keep a copy for your records - Hold onto a filled-out copy (and any proof of submission) in case you need to follow up.
6. Revoke in writing if you need to stop future releases - You can revoke the authorization in writing, but it won’t take back records already disclosed under the signed authorization.