Clear, well-organized, thorough medical records are fundamental to the success of a quality healthcare organization. This article specifically addresses the problem of integrating multiple records from several group and individual practices into a single common medical record for each patient. All aspects of the record system are described--from initial development, record protocol, and start-up and operational costs, to implementation, quality control, and results of the new system. The information set forth is valuable to all healthcare administrations interested in establishing or maintaining integrated medical record systems in their group practices.