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Medical Records

Records Request Form

To request your medical records and receive a copy, please download and fill out this form below.

Once the form is filled you may either deliver the form to one of our office locations or email the form to [email protected]

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Request Form Download

Release of Information Form

To authorize the release information of medical records, please download and fill out this form below.

Once the form is filled you may either deliver the form to one of our office locations or email the form to [email protected]

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Information Release Form

Questions about Medical Records

For any questions about medical records or release of information forms please email [email protected]