---

Our offices are able to complete any necessary school, camp, daycare, and sports forms for your child. Prior to submitting any forms to the office, all relevant patient information areas must be completed for clinician review. 

 

Any Request for Medical Records will be subject to the following terms:

• A Request for Records form must be completed and signed by the legal guardian/parent of the patient 
• Patients age 18 and above themselves are legally responsible for completion of forms and the terms associated with the Request for Records 
• A $50 fee will be charged for completion of all other forms: FMLA/medical leave of absence, and disability 
• There is a $25 charge for repeat forms depending on the type of form 

Please know that all completed forms are accessible to you on our patient portal.  

 

HealthMark: Medical Records Requests 

Click Here to access the HealthMark process

• HealthMark Group provides a secure, digital workflow for managing medical record requests, patient forms (like FMLA/disability), and healthcare audits. It is designed to digitize and streamline the release of patient health information (ROI)
  

  How it Works:

  1. Enter your email
  2. You’ll receive a secure link to that email to access Request Manager.
  3. Follow the step-by-step instructions on the screen to submit your request.
  4. We will process your request, and you will receive an email with a link to download your records once the request is complete.

  Please note: Standard medical record requests generally take about 2-3 business days. Requests for FMLA and/or disability forms take an average of 7 business days because those require more detailed information and approvals from your physician.

 

Prescription Requests & Information

• Prescriptions are now sent automatically to the pharmacy of your choice.
• Please call your pharmacy to request a refill.
• If you believe your child is in need of a new prescription or a refill please call us or sent a message through the portal

*Always use the dispenser that comes with the product. Never a kitchen teaspoon. If possible, use weight to dose; otherwise use age.