If you seek to have your records transferred to another physician or health organization, an authorization to disclose health information form must be signed and completed specifying where your records need to be sent, the fax number in which we are to send them to and include the specific dates of service, medical information requested and the reason for this request.
If you are seeking to obtain records for yourself or an attorney, the request must be approved by the provider and a fee of .65 cents per page will be charged. Payment is expected prior to the release of information.