Records Requests

Please use the form below to submit a request for records.  We will attempt to have your medical records to you within 10 business days, unless there is an urgent matter that requires them sooner.

Person Whose Records are Needed

Person Requesting Release of Records (if different from above)
Getting your records
Note: Records will be provided within 10 business days, unless special arrangements are made. Customary fees may apply when necessary.