A Release of Information Authorization form must first be completed by the patient or legal guardian.

PLEASE NOTE: If a patient has granted Power of Attorney to someone, we must see the Power of Attorney prior to processing the request for medical records.

If you request a copy of medical records released to another physician for continuation of care there is no charge.
Our information is available in a PDF format. If you do not have Acrobat Reader,
please click the icon to download.

We ask that our fill out the North and South Office Medical Record Request form.

You may read it in the office on your next visit or you can download it from our site.

[Click Here to Download a PDF file]