Planning Your Visit
If you were recently in the Emergency Room, or Urgent Care, we will need the entire medical record (NOT discharge summary) prior to your visit to the clinic. Please come into the clinic or into the facility you were seen at, and sign a 'Medical Release' form to ensure we receive your records. You can also email the completed, and signed, form to | firstname.lastname@example.org | and we will fax it to the facility.
If you are coming in for a chronic condition follow up, the medical providers are requesting that your bring your current medication bottle, or a photo of the label.
Download Medical Release Form