The CORE Institute Medical Records Request

We provide this form online so that you can request your medical records from The CORE Institute. Simply click on the link below then print and fill out the attached form. Medical records requests can be submitted via fax or mail but must be accompanied by a copy of a government issued ID for verification purposes.

Medical Records Request

If you cannot access the form, please click on the icon to download the free Adobe Reader software. 

Contact The CORE Institute today for more information about medical records request, our mission, patient and visitor information, our research and more.