Step 1: Download the Consent Form
Before I can review your medical records, I need your permission.
Click below to download the fillable PDF Consent/Release of Health Information form.
Step 2: Complete & Save
Open the PDF using any PDF viewer (like Adobe Acrobat or Preview on Mac), fill it out, and save the completed version to your device.
Step 3: Upload Your Files
Use the form below to securely upload:
Your information is kept private and secure.