Medical Records Request

To request your medical records be sent to your provider electronically, please email  Please include your last name, first name, and date of birth including month, day, and year, the name of the provider (or practice name) and the fax number to which you would like your records sent.

HIPAA prohibits us from emailing records to either you or your provider.  We are only permitted to transmit medical records electronically via fax.

Alternatively, if you would like to receive a copy of your records on a USB stick device, please use the order button below.  You will be transferred to our Square order page where you may order your records.  There is a small fee to cover the cost of the USB device as well as shipping.