Release to Third-Party New Medical Records Request

Patient Information

Please select the visits/admissions you would like released:
Please select the type of information you would like released:

Purpose of Request

Please enter your reason for requesting records.

Your Information

Delivery Information

Medical Records Delivery Options

Please choose from one of the below options for Medical Records. You can download them directly from the website. Any Image CD (Radiology, etc..) will be delivered by mail via the US Postal Service to the address entered below.

Delivery Summary

  • Medical records will be delivered via this website in Adobe PDF format. A notification will be sent when the records are ready for download, and they will be available for 30 days.
  • Normal processing time is 5 business days from time of receipt.
  • Please contact us if you have any questions.