1. Enter Request Information
  2. Upload Authorization
  3. Review and Submit

New Records Request


Patient Information

Please select the visits/admissions you would like released:

Please select the type of information you would like released:
Medical Records
Itemized Billing
Radiology Images

Your Information


Delivery Information

Medical records and/or Billing Records will be delivered via this website in Adobe PDF format. A notification will be sent when the records are ready for download.
Radiology images will be made available via Secure Imaging Link.

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


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