To request your medical records, please fill out the Medical Records Release Form below. Once you click submit, you will receive a confirmation email containing a link you will need to click to securely submit the form to our office.
To contact our medical records department, send an email to [email protected] or call your office. If you are requesting records and your address and/or phone number have changed since you last saw us, please send us an email with the corrected information.
- Medical Records Release Form
- HIPPA: Privacy Notice Authorization
- HIPPA: Autorización de Representante Personal