After Your Visit
Request for Films
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.