Save time by completing the new patient form before you arrive at the office for your appointment. You can print the below paperwork for the designated office, fill it out and bring it with you.
Medical Record and Film Release Form
Provide permission and request that your medical records to be released to another facility or doctor. Please allow 5-7 days for processing. Note that a charge of $15 per x-ray copy is due at the time of release.
Media Release Form