You are entitled to copies of your medical records, whether for yourself or another medical provider. Due to HIPAA regulations, your medical information can be released only after your written authorization is received. You will need to sign a medical records release authorization, which you may fax, email or drop off to our office.
Medical Records Release Form
We strive to fulfill your request in a timely manner, please allow 10 business days for your request to be processed. There will be a $25.00 fee for the release of more than 10 pages / No Fee for records that are released to an MD’s office or Hospital. We encourage you to access your patient portal for speedy release of records.
** Please note that unencrypted e-mail sent over the Internet is not secure and may not remain confidential; thus, any information sent by email is sent at the sender’s own risk. We suggest the use of a fax instead.**
For submission of your medical records to our practice, we ask that you please either fax, mail, or hand carry them in. We do not accept CDs.
Your Privacy is important to us. We make it a priority to keep your records confidential.
Phone: 949.829.5500 ext. 1616