To submit a medical records request, please click one of the links below:
Tennessee Patients:
Online Medical Records Request
Forms:
To submit FMLA/disability forms to be completed by your provider, click the link below to complete the form request for authorization and to upload forms.
https://portal.vrcnetwork.net/ccoforms
You can also email your forms to
Tieroneinstitute@vital-chart.com or drop off at any Tier One location.
For questions about medical records, payment inquiries, or to check the status of FMLA/Disability, patients can contact the VRC at 859-410-2176.
