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Patient Portal

Patient Forms

For your convenience, you may download and print our Patient Forms and complete prior to your appointment. Each form is a PDF document that can be viewed with Adobe Acrobat Reader.

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Medical Records Requests

We have partnered with MediCopy to fulfill Release of Information requests and disability/FMLA forms. MediCopy is fully HIPAA compliant and adheres to all state and federal regulations concerning release of medical information.

Medical Records

Patients: To request your medical records, please visit MediCopy.net/Patients
Please provide an email address on the authorization to expedite the process and delivery method. Records sent via email or to another provider are complimentary. Requests are processed within two (2) business days after receipt by MediCopy.

Third-Party Requesters: To request medical records please visit MediCopy.net/ThirdPartyRequesters

Disability/FMLA Forms

To submit FMLA/Disability forms, please visit MediCopy.net/Forms
Forms are $45 for the first form and $15 for each additional form turned in at the same time. After payment is received, Disability/FMLA forms are completed within three (3) business days.

If you have any questions, please contact MediCopy:
Online chat: MediCopy.net | phone: 866-587-6274

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