Medical Record Request

We have partnered with MediCopy to fulfill your Release of Information requests and Disability/FMLA forms. MediCopy is fully HIPAA compliant and adheres to all state and federal regulations concerning release of medical information.

Medical Records
Patients can request copies of their medical records at no cost, but delivery fees apply for postage, so provide an email address! Please provide an email address on the authorization to expedite the process and delivery method. Records sent via email or to another provider are complimentary. Requests are completed with two (2) business days after receipt by MediCopy.

To request your medical records, please fill out one of the authorization forms by CLICKING HERE.

For medical records and disability/FMLS form completion information CLICK HERE.

If you have any questions, please contact MediCopy:
online chat:  |  phone: 866-587-6274  |  email: