Medical Records

Medical Records:
To request Medical Records, please print the form below and fax to:
859-301-0655, Attn: Medical Records

Your first copy is free. There is a $1.00 per page fee for additional copies.

We process these requests in the order in which they are received and attempt to have them completed within one week; however, please understand that this process can take up to 30 days.

Other Fees:
Please note there is a $25 fee (per form) for forms that require completion by our office. Examples include: FMLA and disability forms. 

Please click below for on disability form information.

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