This is only a request. Selecting an option below does not mean you are scheduled. We will do our best to call you with an appointment closest to your preferences. Please allow up to 24 hours to receive a response.
Medical Records and/or X-rays can take a week or more to receive after a request, depending on length and amount.
Submit the your request below and we will contact you for more information or when they are ready.
By signing below, I consent to the release of my medical records/MRI/X-ray images.