Patients may download a copy of our formatted medical records release
form below. Patients should complete the form in its entirety: which specific
medical records are needed, the recipient of the records, and the purpose
of the request to avoid any processing delays.
form below. Patients should complete the form in its entirety: which specific
medical records are needed, the recipient of the records, and the purpose
of the request to avoid any processing delays.
The above form may be used to request your mammography films & reports from your current
facility TO Ob/Gyn Associates for your upcoming mammography appointment. Fill the form
out in it's entirety and contact your facility to find out their policies and procedures for making
your medical records request. We prefer our patients bring all the necessary records to the
office at the time of your mammography appointment. However, records may be mailed.
facility TO Ob/Gyn Associates for your upcoming mammography appointment. Fill the form
out in it's entirety and contact your facility to find out their policies and procedures for making
your medical records request. We prefer our patients bring all the necessary records to the
office at the time of your mammography appointment. However, records may be mailed.
Requests for copies of your medical records and/or films will be processed upon receipt of
your proper written instructions and authorization, per federal and state requirements. A
medical records processing fee may apply. Please allow 7-10 working days from the date of
your request for our staff to complete the processing. Urgent requests will be treated as such.
Please note, if your chart has been inactivated, older than 3 years, an additional retrieval fee
may apply. Charts are only retrieved from our off site storage facility at the beginning of each
month.
your proper written instructions and authorization, per federal and state requirements. A
medical records processing fee may apply. Please allow 7-10 working days from the date of
your request for our staff to complete the processing. Urgent requests will be treated as such.
Please note, if your chart has been inactivated, older than 3 years, an additional retrieval fee
may apply. Charts are only retrieved from our off site storage facility at the beginning of each
month.
MEDICAL RECORDS
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The above form may be used to request your records, other than mammography films &
reports, from your current facility TO Ob/Gyn Associates for your upcoming appointment. Fill
the form out in it's entirety and contact your facility to find out their policies and procedures for
making your medical records request. We prefer our patients bring all the necessary records
to the office at the time of your appointment. However, records may be mailed.
reports, from your current facility TO Ob/Gyn Associates for your upcoming appointment. Fill
the form out in it's entirety and contact your facility to find out their policies and procedures for
making your medical records request. We prefer our patients bring all the necessary records
to the office at the time of your appointment. However, records may be mailed.