Let's Get Started

Having an email address will expedite the process of accessing your medical record through our online Medical Authorization Form.  Let's Get Started by inputting your email address below. Click on "Proceed to Record Request" and it will take you to our online form.

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Don't have an email address?  You will need to download and complete our Medical Authorization Form and fax it us or mail it to our address.  By providing an email address, turn around time is 48 - 72 hours, while mailing us your completed form will take about 2 weeks or more to fulfill your medical record request.