SUBPEONA FOR BILLING RECORDS !insuINI

ALTOS POLICY FOR PROCESSING MEDICAL RECORDS SUBPEONA

Please be advised that our company procedure and policy for request for records is as follows.

1. Your request for records must be served with an Initial Processing Fee of $25.00. This Initial Processing Fee must be payable to Altos Incorporated. Without your Initial Processing Fee your request for records will not be processed.
2. Please keep in mind that the payment check should only be addressed to "Altos Inc."
3. We do not accept any out of state subpoena without a HIPAA Authorization signed by the patient
4. We do not accept any records requests by fax or email. Any request of records sent by email or fax will not be processed.
5. Please include the doctor’s information, and just add “Care of Altos Inc”.
6. Should you have any questions or require any additional information please contact us at (949) 630-0500 Option 7 or send an email to
   "BILLING RECORDS @ ALTOSINC. COM" without spaces.
7. Request for records must be addressed to Altos Inc. and must be delivered in person or via mail.

a.   In-person drop-off address:

Altos Inc. - Billing Records Department

1691 Browning Ave.

Irvine CA 92606

Monday to Friday, 9 am to 3 pm with open lunch.

b.   Mailing address:

Altos Inc. - Billing Records Department

1691 Browning Ave.

Irvine CA 92606