Due to HIPAA, the release of medical records requires a signed authorization from the parent, legal guardian or patient (if of age).

If you wish to have medical records sent to another physician’s office, please print and complete the medical records release form. Return the completed form to our office by mail or fax (716-885-7317).

If you have any questions, please contact our office and ask for Denise at ext. 20.

Click here to download the release form.

Click here to download the non-parent authorization form.