1. Fill out Medical Release Form online by clicking the button below.
2. Pay $25.00 for your request before records are released.
3. Receive your records via your choice of email or CD.
You will receive either a downloadable link via email (HIPAA Compliant) with your records or you will be mailed a CD with your records on it. You choose which option you want. All files will be electronic.
For all questions please email: [email protected]
Expect 7-10 Business days for medical records: There is sometimes a gap between when the medical office closes and we receive the records
If you need to download a blank form, do so here here
If you need to send a file securely to us, please do so here.