Requesting Medical Records 

Medical records include immunization records, physical exams, laboratory test results, medical imaging test reports (e.g., x-rays, CAT scan, MRI, ultrasound), doctor/nurses' notes and similar records.

If you would like a copy of any of these records, you will need to download and mail the completed and signed Release of Medical Records Form, and please provide us with a copy of a picture ID. Please print your information clearly on the release form so we can discern where to send your records.

We are able to send records in one of four ways. We can email, fax or mail records to the clinic or provider indicated in the Release of Medical Records Form. You may also stop in to the Health Service office to pick up those records in person. The cost to email, fax or mail medical records is $12 and to pick up records you will be asked to pay, $1.00 per page. Please contact our office with any questions regarding medical records.