APCC | RAP

RAP - Remote Access
to Patient Records*
Password Request

Would you like access to your own medical records? Anesthesia Pain Care Consultants can submit a password request on your behalf. Please be sure to enter all information requested below.

RAP - LOGIN

Once you receive your password

*This site is designed to comply with HIPAA regulations and maintains patient confidentiality. This access is ONLY allowed to those Healthcare Providers who are Authorized by us. Healthcare Providers will ONLY have access to view those patients that they are involved in the care of.

First Name
Last Name
Suffix
Choose One	CaseManager Adjuster
Email
Phone
Fax

Business Name / Employer
	Preferred Mailing Address
Street Address
Suite #
City
State
Zip


Allow us 2 business days. We will email or fax back to you your log in and password! Thank you for allowing us to help you help our patients.