If you need a paper copy of your records, we require a completed medical records release form.
Faxed or mail forms to our office. The form lists the return mailing address and fax number. Please allow 2-4 weeks for the preparation of the records.
For any questions regarding medical record requests, please contact your Medical Records by selecting option seven on our phone system.
It is important for your provider to review your medical history, to provide you with the best care possible
Complete this form to allow us to request records from your previous health care provider. If you do not have a prior health care provider, please tell us when scheduling your first appointment.
You can authorize other people to be involved in your care. These people are personal representatives.
To authorize health center staff to speak with a spouse or another individual regarding your health care, we will need to have this form completed. This includes conversations such as rescheduling appointments or questions on billing issues.