Attorneys, please request records by emailing firstname.lastname@example.org with the following patient information:
- Patient first and last name
- Patient date of birth
- Patient date of service
- Clinic address of visit
- Signed Medical Record Release Form
An invoice which includes a processing fee of $21.00, plus $0.69 per page and postage will be issued for the requested records. Once payment is received the records will be mailed or faxed if a secure fax number is provided. Please allow 5 to 7 days for processing.
All request for medical records must be requested by fax or email. Your Doc’s In clinics will not provide medical records at the time of visit nor to patients who walk in after a visit.