Medical Records

To obtain a copy of your medical records, please download the following release form and email/mail to our office. 

Medical Records Release Form

Medical Records Request Form

The State of Maryland allows up to 21 days to process requests for copies of medical records. We prioritize record copy requests that related to direct patient care. If you record request is for a healthcare related appointment, please provide the location and date of the appointment. 

The Medical Records Request Form may be faxed to (240)-232-2016.  All requests from patients or providers must be submitted in writing with a signature authorization from the patient or authorized legal representative. 

Office Location

  • Rockville
  • 2403 Research Boulevard
  • Suite 102
  • Rockville, MD
  • 20850
  • Map & Directions
  • Call: 240-232-2020