You may request a copy of your child’s medical record by completing and signing our medical record release form (this form is available on our website under PATIENT FORMS and may also be completed in our office). In order to process your request, completed forms may be submitted to us via fax, mail, or in person. Any patient 19 years of age or older is required to sign their own release form. As a courtesy, we will forward a copy of your child’s medical records directly to their new healthcare provider at no cost. Copies given directly to the parent/patient will incur a $5.00 base fee, $1.00 per page for the first 25 pages, $0.50 per page for pages 26-100, and $0.25 per page thereafter.