Utilize this page to comply with the subpoena or request you were served.
Enter your information so we can contact you if questions arise. Two identifying items, (1) request number and (2) an additional identifier, are required to ensure HIPAA compliance and to connect records to the corresponding request. At this time we allow one request to be processed at a time. Upon submission, you can enter a separate request. If you need to submit an invoice or schedule an appointment,
click here.
