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New Medical Records Request

Clinics

Select / Update Clinics

Patient Information

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Please select the type of information you would like released:
Medical Records

Note: Diagnostic Studies cannot be requested through this website. They must be requested by mail from the location where the study was completed.


Purpose of Request

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Your Information

Delivery Information

Normal processing time is 5 business days from time of receipt. Please contact us if you have any questions.

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