Medical Record Request

Harbor Medical Associates manages your health information and medical record, ensuring your information is maintained confidentially and in accordance with applicable federal and state laws and regulations.

Please refer to the link below to obtain information on how to obtain your medical records including the cost and the process. Please print and complete this form, return by mail or bring to your physician’s office. The fee for medical records may be paid by cash, check, Visa or MasterCard.

Download this form in printer-friendly pdf format.

(This requires Adobe Acrobat software to open. This software is free, and if your machine does not already have this software you can download a free copy by clicking Adobe Download Here.)