Moving away or transferring?
Please complete this Medical Records Release Form. Please specify which records you'd like, whether the complete chart, between a certain time frame, and/or lab work, etc. If you'd like to follow up on the status of your request, call our Edgewater office and follow the prompt to the Records Department.
Immunization record only: You may e-mail us at firstname.lastname@example.org thus giving the office consent to release this information and detailing your child's full name, date of birth, and contact information. Please allow at least one full business day turnaround.