To request records we must have a record release completed or a note stating patient name, date if birth and where records are to be sent, it must be signed and dated by the parent unless the patient is 18+ years old and they must sign.
The fee is $37.00 for the 1st 20 pages and $0.15 per page thereafter. You will be pre-billed before the records are sent out. Medical record requests are handled by PhotoStat once a week.
There is a fee of $25.00+ for form completion or letters.
All refill requests must be provided in writing either by mail, fax or by phone. If you have any questions please e-mail firstname.lastname@example.org or call.