If you would like to request a copy of your medical records, please download and print the following form, complete it, and bring it to our office for processing. There is a charge for processing your record and if needed, a copy of your MRI. Once we receive the form and payment, we will be able to process your request. Please allow 4-5 days for processing.
Authorization to Disclose Information (PDF)
If you would like to request your records be SENT to our office, please download and print the following form, complete it, and bring it to our office for processing.