📎 What happens after I share attachments (old records, labs, imaging, or genetic results)?

✅ Quick answer

Existing members, make sure you're logged in when uploading to the chat, or sending the email using the same email you login with us: your attachments are automatically uploaded to your chart. You’ll get our standard confirmation email; no need to resend.
New to our clinic or writing from a different email: we received your files and will add them to your chart during review. No need to resend - but it doesn't connect to your chart until you start with us.

🧭 What this covers

Old medical records (clinic notes, discharge summaries)
Lab and imaging reports (PDFs, screenshots are okay)
Genetic test reports (consumer or medical-grade panels)
Medication lists and prior treatment plans

🔄 How the process works

You send your files via email or chat
Auto-upload happens if you’re an existing member writing from the email on file.
Manual review happens if you’re new or using a different email - just let us know so our team can attach your files to your chart during intake review.
We review and follow up. If we need anything else (like a clearer copy, missing page, or helping clarify your decision between options), we’ll reach out.

Tip: Duplicate files are common. Please don’t worry about sending something twice—we’ll keep the most complete version.

🧪 How we handle genetic test results

We look for actionable findings (pharmacogenomics, carrier status, cardiometabolic risk, nutrient pathways) in your raw DNA (we're not just looking at the reports).
We consider context: your goals, symptoms, labs, family history, and lifestyle.
Some consumer tests reports are directional rather than diagnostic; we’ll let you know when confirmatory testing or clinical follow-up is useful.

📂 File types and quality

Best formats: PDF, JPG/PNG screenshots, DOCX. ZIP files for RAW DNA.
Make it readable: if it’s a photo, try to flatten the page, fill the frame, and check for blur.
Big files: long PDFs are fine; multi-part imaging CDs often include a report PDF. We use radiology image (DICOM) viewers.

🧭 Want to move things along faster?

Sharing any of the following (if easy) helps us review more quickly:

A brief “top question” you want answered first
A current meds/supplements list and key allergies
The date range of the records you sent (“cardiology notes 2022–2024”)

🗓️ Scheduling and next steps

Self-schedule or adjust a visit: https://fishtownmedicine.com/contact
Prefer chat-based support? Message us from the site widget or reply to your confirmation email and we’ll guide you.

🔐 Prefer a secure upload?

Our email list HIPAA-secured however if you’d rather not use email, message us the documents directly in our chat.

❓Common questions

Do I need to rename or organize files?
No. If you can, descriptive names help (e.g., “Cardio_Echo_Report_2023.pdf”), but we’ll sort it out either way.

Should I resend if I forgot a page?
You can send the missing page alone, or whatever is convenient. We’ll merge it with what we have, and work with what you have.

What if my report is inside a patient portal?
A PDF export or clear screenshots work well. If export isn’t available, a short note with the portal name helps us locate it together later.

Will you let me know if something didn’t come through?
Yes. If a file is corrupted or unreadable, we’ll reach out for another copy.