If you would like us to transfer a copy of your medical records to your Primary Care Physician (PCP) or psychiatrist to coordinate your medical care, please complete an online PHI Release Authorization Form which will give us your permission to transfer the medical records.  Please ensure the form is filled out in its entirety, including the name of the physician or medical practice, full address and phone number.  Incomplete forms will result in your request being delayed or canceled.
Please note, there is a state-regulated fee of $30.08 for the preparation and transfer of medical records.  The fee must be paid prior to us retrieving your medical records.  You can make a payment using our Online Payment Portal.