Electronic Record Request

  • ie: Lab Results for the last 6 months; CT scans from Month/Year; or Surgical Notes from appendectomy on (date)
  • Please provide area code and extension if applicable
    Your privacy is one of our top priorities. Once we receive this request we will be in touch to verify the owner of the information is making the request.
  • Please allow up to a 6 week processing period for all Medical Record Requests.