If you have questions regarding your medical records contact your office of care. All requests for medical records release require authorization. Please complete the Authorization for Release of Medical Records form below.
ALERT: Don't lose your health care benefits - Medicaid recipients need to re-establish their eligibility to continue receiving benefits. For more information, contact our Certified Application Counselors here, or call 855-642-8572 and check in with Medicaid today. –
If you have questions regarding your medical records contact your office of care. All requests for medical records release require authorization. Please complete the Authorization for Release of Medical Records form below.