Medical Records Request

Medical records can be picked up in person, faxed or sent via encrypted e-mail.

To ensure faster processing complete the Medical Records Release below and email to Medical Records. Please specify in the email message any additional information (transferring care, immunization record, last 3 visits, etc.) to help us process your request.

If you need daycare, school forms or sports forms: first COMPLETE THE PARENT PORTION of the form and then email to Clinical Team.

If you only need an immunization record, please submit the information in the box to the right and notate “Immunization Record” in the message section.

Please allow 3-5 days for processing for any and all requests.

IMPORTANT! If you do not see a success message after submitting, one or more of your answers are either not valid or blank on a required field. Please review the fields highlighted in red and re-submit.

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