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Medical Record Release Request

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Medical Record Release Request

We strive to support our patients in ways that encourage good vision and good health! Obtaining your medical records may help to provide the support you need. Your medical records will be furnished upon receipt of written request within 30 days, and they may be provided at your choice of fax, secured email, portal or picked up in person at our office. To obtain medical records for yourself or your child, please complete this form – Medical Record Release Form – and return to us:

Should you have any additional needs, please email our practice’s Compliance Officer HERE.