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Medical Records Release

Submit a Health or Billing Records Request Online

Neighborhood Medical Center is happy to provide copies of your health information. If you would like to submit a health record request online, please click on the following link(s) below, which will take you to an authorization form that will be sent to our staff.

I Am the Patient Requesting Records

If you are a patient personally needing access to your official medical records for your own reference or future care coordination, please choose this form.

FORM HERE

I Am a Patient Representative

If you are requesting records on behalf of a patient (as a parent, legal guardian, caregiver, or power of attorney), please choose this form.

FORM HERE

I Am an Attorney Requesting Records

If you are a law firm, physician office, insurance provider, or other outside company requesting official patient medical records, please choose this form.

FORM HERE
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