Medical records

Request records from the practice.

Use this form for records requests only. It is not for new symptoms, prescriptions, treatment questions, or urgent concerns.

Before you submit

  • Use this for medical records only.
  • Identity verification may still be required before release.
  • Portal access can be offered later as a delivery method if available.

Records request

Send a written records request to the practice.

This form is for medical records only. It is not for symptoms, treatment requests, refill requests, or urgent concerns.