MEDICAL RECORDS REQUEST
Our office staff will be happy to assist you with requests for your medical records.
We can assist you with the following:
To make a request for records, please complete the forms below and return them to our office. You may contact the office by calling 980-613-8312. Fees may be assessed.
We can assist you with the following:
- Access to your medical records
- Obtaining copies of your medical records
To make a request for records, please complete the forms below and return them to our office. You may contact the office by calling 980-613-8312. Fees may be assessed.
| medical_records_request.pdf |
| AUTHORIZATION TO RELEASE INFORMATION |
