TotalCare Records Access Request Form
Please fill out the Records Access Request Form to obtain a copy of your Alliance medical records.
If you need help with this form, you can call Member Services at 833-530-9015, Monday-Friday, 8 a.m. to 8 p.m. If you need language assistance, we have a special telephone line to get an interpreter who speaks your language at no cost to you.
For the Hearing or Speech Assistance Line, call 800-735-2929 (TTY: Dial 711).
Contact Member Services
- Monday through Friday, 8 a.m. to 8 p.m.
- Phone: 833-530-9015
- Deaf and Hard of Hearing Assistance
TTY: 800-735-2929 (Dial 711) - Nurse Advice Line
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