Patients and Physicians:
Download Medical Records Release Form
Complete the request form pdf at the link above and then complete and attach to the form located at the bottom of this page. Our medical records custodian will contact you when your records are prepared. We are happy to email you your records from our secure portal, or you can pick up a printed copy at our local clinic.
Law Firms and Insurance Companies:
We do not accept faxed requests. We do not accept checks as a form of payment for medical records. The only acceptable form of payment is by credit card.
Our fee for medical and billing records is $25.00. Medical records are released within 3-5 business days of credit card payment.
Click the button below to submit payment. Once payment is submitted, you will be redirected to a page to enter the patient information and submit the medical records request documentation.