ELECTRONIC RECEIPT (ERECEIPT)
Form used to request an emailed receipt for storage services

ONLINE INVENTORY ACCESS FORM
Request a username and password for the inventory management portal with this form
(For United States locations)

E-SIGNATURE SOFTWARE CONSENT
Form to authorize users to provide signatures via e-signature software

NEWSPAPER ORDER FORM

RECORDS TRANSMITTAL FORMS
Forms to list items sent to the storage facility

HAYS – RECORDS TRANSMITTAL FORM

HUTCHINSON – RECORDS TRANSMITTAL FORM

KANSAS CITY – RECORDS TRANSMITTAL FORM

LOS ANGELES – RECORDS TRANSMITTAL FORM

LOUISVILLE – RECORDS TRANSMITTAL FORM

MANHATTAN – RECORDS TRANSMITTAL FORM

OKLAHOMA CITY – RECORDS TRANSMITTAL FORM

TOPEKA – RECORDS TRANSMITTAL FORM

WICHITA – RECORDS TRANSMITTAL FORM

HIPPA AUTHORIZATION FORM
Patients requesting records from their doctor’s storage account – select form where records are located

HUTCHINSON STORAGE FACILITY

KANSAS CITY STORAGE FACILITY

LOUISVILLE STORAGE FACILITY

OKLAHOMA CITY STORAGE FACILITY

WICHITA STORAGE FACILITY

Have other business needs?