Medical Records

In order to obtain your medical records from our office or to have them sent to our office from another office or facility, a signed Record of Release (ROR) form must be filled out. 

Please note that we are unable to accept requests or releases via email. Please fax the completed form to (616) 331-9831. Records will be faxed or mailed to other providers free of charge. Personal copies are records are subject to a fee. 

Page last modified November 2, 2023