- Please fill out the form to submit your medical records request.
- Alternatively, you may also submit your medical records request through email or fax.
Fax: (646) 351-0690
- For the most efficient processing, please use the New York State Department HIPAA authorization release form here. Instructions for patients on how to fill out these HIPPA authorization release forms can be found in English, Simplified Chinese, and Traditional Chinese.”
We will be in contact within 5 business days after we confirm patient information.
If necessary, we will email you with next steps in terms of financial payment. Please make sure that your name, phone number, and email above are filled in accurately so that we can contact you.