Medical Records Request
This process is in place to protect your private health information. To request your medical records, please follow the below steps:
- Download and print AGA’s Medical Records Release form.
- Make sure the patient or authorized requestor (if not the patient) signs the form
- Submit your completed Medical Records Release form along with a copy of the requestor’s photo ID via one of the below methods:
– Fax or mail the form and copy of photo ID to any office location
– Email the form and copy of photo ID to firstname.lastname@example.org
– Pick up records in person at any location by bringing the completed form and a photo ID