Medical Records are released only upon patient authorization. An authorization must include the patient's name, date of birth, Social Security number (if a U.S. citizen) and the following information:
- Who or where to record is to be released to
- Exactly what information is to be released, to include the dates of care received
- Patient or guardian signature
- Date of signature (Date of signature must occur after date of treatment or care received)
Click here for an authorization form. Call 202.877-1180 to receive this form via fax.