Medical Record

Checklist
Please enclose a completed copy of this checklist with each medical record.
It is the hospital’s responsibility to ensure that medical records are complete and well organized prior to shipping
them to MDReview. Tabbing medical records assists the reviewer to more efficiently identify pertinent information.
We ask that records be tabbed with the following sections (the order of each record may differ from the list below).
Please include a single cover letter outlining the questions or issues for all records included for review.

Patient Name: ____________________________________ Admit Date: _______________________

MR#: _____________________ Acct#: _________________ Discharge Date:____________________

TABS IMAGING STUDIES

Tabs
*Please check off each type of image that is included.
Admission (all information including consents)
Discharge Summary X-Ray CT
H&P Mammography MRI
Emergency Room Nuclear Medicine Ultrasound
Consults Cath Lab/ Angiography Fluoroscopy
Operative and Procedure Reports Other ___________________________
Anesthesiology
Radiology Reports Please verify that all CD’s are operational and contain
Cardiac Studies the intended content before shipping to MDReview. Please
ensure that the images can be viewed on both Windows XP
Lab Reports
and Windows 7 operating systems.
Pathology Reports
Progress Notes All CD’s have been checked and are operational.
Physician Orders
Nursing Notes
SHIPPING MEDICAL RECORDS
Medication Administration Please ship all medical records via FedEx
Office/Outpatient Records (if relevant) or UPS for security and tracking purposes.
Other/Ancillary Ship records to:
Fetal Monitor Strips (clean copy) MDReview
6025 South Quebec Street,
Suite 360
Centennial, CO 80111
866-725-1784

Note: Two additional days will be added to the project timeframe

for expedited reviews if records are received by our office on a
Friday to allow for weekend shipping to the physician reviewer. ELECTRONIC MEDICAL RECORDS
For records that are inadequately tabbed and organized, a fee of If you will be uploading records, see page 2
$150 per hour will be charged to prepare records and an for directions on how to upload records to
additional day for processing may be added to the project our document sharing system.
timeframe.

MDReview | www.md-review.com | 866-725-1784

MDReview Use Only:

1 Time ______________
 Uploading Documents
Uploading a Document
1. Log into our document sharing system at www.md-review.sharedwork.com using your
email and password.

2. Once you are logged in, click on the Client Uploads folder.

3. Click on the green box titled .

4. For a single document: Click Browse to find the saved document on your computer.
When found, highlight the document and click Open. The file name will show in the file
field. Then, click the green button at the bottom of the screen titled Upload.

5. For multiple documents: From the Upload Documents screen, click

. You will see 20 boxes on the screen, one for each file you want to
upload, up to 20 at a time. Click Browse in each box and find each of the documents on
your computer. Scroll down to the bottom of the screen once you have added all pertinent
files and click Upload.

6. Once you are finished, you will see all documents that have been uploaded in the folder.

7. You can send MDReview an email from the Document Sharing System, to let us know
that you have uploaded your draft or edited reports , by clicking the Envelope Email
icon in the upper right corner of the Client Documents screen. You may also email us
though your own email service, or call us at 866-725-1784 to let us know the document
has been uploaded.

8. Click Log Out in the upper right corner to exit the system.