Forms
Let's prepare for your visit.
Let's prepare for your visit.
Step 1
Step 1
Download and fill out the fillable Release of Records form and fax it to your primary and/or specialty care office(s). You should send this to every office you'd like to request records from individually.
Release of RecordsStep 2
Step 2
Complete the form below. You will be asked to upload a copy of your completed Release of Records form(s) for our record, and to review and sign our liability release and notice of patient privacy statements.