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Your Medical Records - Alliance Medical Group

 

If you require a copy of your Medical Record:

  • Our office requires a HIPAA compliant medical release form signed by all patients prior to the release of any patient health information.   This form is available here.
  • Please allow us 30 days for medical records released to you or another physician.
  • Please allow us 7 days to complete CL&P and Yankee Gas forms. These will be mailed back to the company.
  • Please allow us 14 days to complete disability forms. These will be mailed back to the originator.
  • Please allow 48 hours for any physical/medication forms.

Download Your Medical Release Form