Office Forms:
- For controlled medications to be sent to our pharmacy for home delivery
Needing To Get A Copy of Your Medical Records?
- Please fill out a Release of Information (ROI) below and send it back to our office.
- If you are needing a copy for yourself, please fill out the “From TPA to other Facility” ROI. When sending medical notes to another Doctor’s there is no charge for 20 pages or less.
- When obtaining a copy for personal records, there is a $25 fee for the first 20 pages, 0.25₵ each for every page after that. Pick-up in the office there is no additional charge, if needing it to be sent to you, there is an additional $8 fee.
*Please Note: There is a two week time frame for records to be processed, approved, and sent out. We CANNOT Fax Records.*