Medical Records/Lab Releases
To have our office staff send you or another provider copies of your records or labs.
*There is a fee for this service
To request medical records or labs from another provider to be sent to our office.
Download and complete one of the forms above and send to firstname.lastname@example.org. Include a contact phone number so we can contact you regarding payment for outgoing records. Most requests will be completed within 1-3 business days.
Fees for outgoing records:
1-5 pages - $5.00
6-10 pages - $10.00
11-20 pages - $20.00
20+ pages - $1.00 per page