After Your Visit
The Health Insurance Portability and Accountability Act (HIPAA) establishes regulations for the use and disclosure of Protected Health Information (PHI), which is any information held by a covered entity concerning health status, provision of healthcare, or payment for healthcare that can be linked to an individual.
Patients in need of their films can request by completing a Release of Information form. The Release of Information form may be downloaded via this website. Once the form is completed, it must be mailed, along with the payment to:
Mount Sinai Radiology Associates
1176 5th Ave., Box 1235
New York, NY 10029
Please Note: Walk-ins for films requests are accepted.
Radiology Associates will charge a fee for the search and retrieval (which is non-refundable). Upon receipt of the release of information form and payment, Radiology Associates will send you a receipt for the cost.
Films - $12.00 each sheet
CDs - $25.00 Patients
$50.00 Law Offices
Overnight/Foreign – Postage Fee
Money orders, cash, checks, VISA, MC, AMEX, Discover Card, and personal checks will be accepted as payment.
Paying a Bill
If you have any questions regarding your bill, please call 1-800-697-2189 from the hours of 9:00 am - 5:00 pm.