Medical Records Request

For all medical record requests, a patient or the pre-authorized family/friend on file may submit a Medical Records Request form at any of our office locations.  When submitting this form the patient or pre-authorized family/friend must present a photo ID.

Please note our local offices do not fulfill medical record requests. Upon furnishing the above, all medical record requests will be sent by the medical office to our medical records team for processing. Medical record requests will be processed within 7- 10 business days after submission of form. If you are not in receipt of your medical records after 7 business days, you may contact the medical records team, Med Request Solutions, at (800) 483-6040.

To prepare your request, please complete our Medical Records Release Form

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  • * All indicated fields must be completed.
    Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.

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