How to Request Records

Insert Content Template or Symbol

To request medical records, please submit a request in person, by email, fax, or mail including:

  • Patient full name
  • Date of birth
  • Specific records being requested (billing, medical, x-rays, etc)
  • Dates of service (if applicable)
  • Where the records should be sent

Please allow up to 5 business days for processing after we receive the completed request.

For your protection, records will only be released to:

  • The patient
  • A parent or legal guardian
  • Another person authorized in writing by the patient

Alternatively, you can complete the form located here: CLICK HERE TO DOWNLOAD