Chesapeake Health Care

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.

• Authorization for Release of Medical Records (English)
• Authorization for Release of Medical Records (Spanish)
• Notice of Privacy Practices – English (pdf)
• Notice of Privacy Practices – Spanish (pdf)
• Keep It With You Brochure (pdf)