Records for Clients of Epoch Counseling Center
Effective June 30, 2018, FRI transferred the operation of Epoch Counseling Center to Maryland Treatment Centers, Mountain Manor, which is located at 1107 North Point Boulevard, Suite 205, Baltimore, MD 21224. Their phone number is 410-284-3070.
For individuals who received education or treatment from Epoch Counseling Center prior to June 30, 2018, FRI continues to manage storage of and access to these records as required by Federal and Maryland laws.
FRI’s hours of operation are Monday through Friday 8:30 am – 4:30 pm (excluding holidays)
To Obtain Copies of Your Records
To request a copy of your medical records for yourself or to have your medical records sent to another person or organization, download and complete the following forms, clearly stating the dates of service, the specific type of record(s) needed, and all other information indicated on the forms.
- Request for Copy of Health Information
- Authorization to Release Confidential Info (Indiv. Recipient)
These forms may also be obtained in the FRI corporate office, or you may request to have the form mailed, e-mailed, or faxed to you. Mail, fax, or drop off your completed forms to the address/fax number listed below.
Maryland Statute allows up to 21 days to process requests for copies of medical records. We prioritize record copy requests that are related to direct client care. If your records are needed for a healthcare related appointment, please provide the appointment date. We are not able to fulfill requests when the request form is incomplete. Incomplete request forms will be returned.
If you are picking up a copy of your record, photo ID will be requested. Please note that only the client or client representative may pick up a copy of the record, unless otherwise indicated in writing by the client or client representative.
For Requests from Persons Other than the Client
To obtain a copy of medical records for someone other than yourself, download the applicable forms:
- Request for Copy of Health Information
- Authorization to Release Confidential Info (Treatment Provider Recipient)
Have the forms completed by the client or client representative clearly stating the dates of service, the specific type of record(s) desired and all other information indicated on the forms.
Contact Information
Friends Research Institute, Inc.
Attn: Records Requests
1040 Park Avenue
Suite 103
Baltimore, MD 21201
Phone: 410.837.3977
Fax: 410.752.4218
Privacy Officer: Michele Hipsley, mhipsley@friendsresearch.org
Request an Amendment (a Change) to Your Medical Records
To ask for an amendment (a change), download the following form:
Request to Amend My Protected Health Information
If you cannot download this form, please call 410.837.3977 and we will mail, fax or email a copy to you.
When you have completed, signed, and dated the form, please fax it to 410.752.4218 or mail it to the following address:
Friends Research Institute, Inc.
Attn: Records Requests
1040 Park Avenue
Suite 103
Baltimore, MD 21201