Instructions for transferring care:
Complete our record release form and email a copy to firstname.lastname@example.org
You can download a pdf version here.
You can request a word document version by emailing email@example.com.
You can also locate and complete this form in your patient portal. Please email firstname.lastname@example.org to let us know that you’ve completed the form.
We will fax your records as quickly as possible to your provider of choice. Please allow 2-4 business days for us to complete your request.
You can locate a list of regional providers here.
If you are waiting on lab results or ultrasound results those will be faxed to your provider of choice.
If you are waiting on reimbursement those checks will be mailed in July, August, and September. Our accounts receivable will need time to reconcile and may take up to 6 months to finalize.