You may request access to your clinical records or a treatment summary at any time. Our Records Request Form allows you to submit your request securely and conveniently online. Whether you need documentation for personal use, coordination of care, or legal purposes, our team will ensure your request is handled promptly and in compliance with HIPAA regulations.

When completing the form, please:

♥ Specify whether you’re requesting copies of your full record or a summary.

♥ Provide clear details about who should receive the records (if applicable).

♥ Include the dates of service or timeframe you need covered.

♥ Upload a valid photo ID for verification (required for all record releases).

Once submitted, our administrative team will review your request and reach out to confirm details or clarify any information before processing.

🕒 Please allow 30 days for standard requests. Requests requiring full medical record may take additional time.