>>PLEASE NOTE: if you DID NOT receive a “Confirmation” in your email, you will need to re-submit your request again. We apologize for this inconvenience and thank you for your patience as we resolve this issue.<<
Patient Request Form
**This form is for requesting your own medical records. If you’re a third party requestor, please refer to the Third Party Request Form.
In working directly with physicians, MedRecords has created a system that is efficient and more affordable. This process encourages patients to find a new physician which minimizes record transfer times and costs.
In order to complete the process of transferring your medical records, you will be required to provide the following information: