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Medical Records

MEDICAL RECORDS

 
There may be an occasion when you wish to request your Medical Records. We are happy to assist you in that process.

To request your Medical Records, visit this link for MediCopy, the company we use for Medical Records requests:

CLICK HERE TO REQUEST YOUR MEDICAL RECORDS

Follow the instructions on that page to complete the MediCopy Authorization for Release of Medical Records Form, which you can submit online, by email, or you may print it and submit it by fax or mail - just follow the instructions on the page.

A fee may apply.

Other Fees:
Please note there is a $25 fee (per form) for forms that require completion by our office. Examples include: FMLA and disability forms.

Please click below for disability form information.

 PATIENT FORMS




Authorization for Release or Access of Protected Health Information

Download



Disability
Information Form

Download



Notice of
Privacy Practices

Download


 






Medicare

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