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Record Release

To release or obtain a copy of your immunization records and/or any medical records, please complete the Medical Record Release Form and either bring it in, mail, email, or fax it to us. We will mail or fax your records within 7–14 business days after receiving the completed form and payment.

You will need to provide a photo ID if you are not bringing the form in directly. Records are not processed until all steps have been taken.

*We do not mail or fax internationally. All forms should be submitted with a picture ID for verification.

Payments may be made online by clicking here. The cost is $5.

Counseling Release Form