Medical Records Request
 Release of Medical Information Form and Frequently Asked Questions

Medical records may be obtained from our office by downloading this form and filling in the appropriate information.

This form may also used when we request information from another medical facilities whether it is from your physician, a hospital, a laboratory or previous university attended.

Be very specific about what records you wish to release and to whom they shall be sent or by whom they will be picked up.

There can be up to a 30 business day turnover from the day we receive your request.

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