To send or receive a copy of medical records, download and completely fill out the form to the left and mail or fax to our office. Once the request is received it takes 3 business days to be completed. There may be a fee for the request of these records based on the size of the patient chart, etc. Call our office for complete details.
If you are unable to print this form you may come by either of our offices to complete this release.
Please call us at either office for any medical record questions you may have.
