Request Medical Records

If you are requesting your medical records, please fill out our medical record release form and fax, mail, or bring it to our office.

Medical Records Release


To Return by Mail:

Record Reproduction Services (RRS)
600 North Jackson Street
Suite 104
Media, PA 19063


To Return by Fax:

(703) 991-7194


Minimum Disclosure Policy
  • In keeping with Federal regulations, it is our policy to release only patient records generated by our Clinic and release only the “minimum disclosure” necessary to accomplish the intended purpose of the request.
  • If you have had diagnostic studies at other locations, such as CT scans, bone scans, MRIs or x-rays, please contact those facilities for a copy of the studies.
  • Please allow 10 days to process your request, as your records will be reviewed for accuracy and completeness prior to their release.