Medical Records Request
X-ray and MRI Imaging Included
Orthopaedic & Neurosurgery Specialists (ONS) has partnered with MRO to support the accurate and timely processing of medical records requests.
Temporary Processing Update
As we transition to a new medical records processing partner, requests submitted between August 27, 2026 and September 4, 2026 may take longer than the typical processing time. We appreciate your patience during this transition and apologize for any inconvenience.
Before You Submit A Request
A $6.50 fee applies to each medical records or imaging request submitted through MRO.
Need medical records only? You can access your medical records at no cost through the ONS Patient Portal. Please note the actual X-ray and MRI images are not available through the Patient Portal.
Choose the type of request you need below:

Medical Records Request
A $6.50 fee applies to each medical records or imaging request processed through MRO.
For copies of:
- Office visit notes
- Operative reports
- Test results
- Billing records
- General medical records
- Imaging reports and electronic imaging files (X-ray, MRI, CT scan)
Medical records requests are typically processed within 3 business days.
To submit a request, please visit MRO Patient Central by clicking the button below. Your request will then be processed, and you will receive an email notification once it is complete and available for download. If you have any questions, please call MRO at (610) 994-7500, option 1 or email MRO at SpirePatients@mrocorp.com. You may also visit MRO Requester Central to check the status of your request once submitted.

Disability and FMLA Form Submission
For disability, FMLA, and return-to-work form submission, please complete your personal history and email your forms in PDF format to SpireForms@mrocorp.com or drop them off at your provider’s office.
Form requests are typically processed within 3 business days.
Forms fees:
- $35 for the first form
- $15 for each subsequent form

Third-Party Request
For requests submitted by attorneys, insurance companies, government agencies, or other third parties:
Third-party requests are typically processed within 7-10 business days.
To submit a third-party request, please email Spireroi@mrocorp.com or fax your request to (530) 466-2543. Please note that applicable fees will apply.
If you have any additional questions, please call our office at (203) 869-1145, and our team will be happy to assist you.