REQUEST FOR MEDICAL RECORDS
To obtain copies of your records, you must complete and sign
the Record Request Form.
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REQUEST FOR MEDICAL RECORDS: Please download the Medical Record Request Form (above) . The Request must be received via Mail, Fax or Email. We will inform you of any applicable charges. The Request for Records MUST include: the Patient’s name, Birthdate, best Phone number for contact, Address along with exactly what records you are requesting.
Correspond with us :
Fax: 973 762-1626
Email: SoMountainOrtho@gmail.com
U.S. Mail South Mountain Orthopaedic Assoc, Attn: Medical Records, 61 First Street, South Orange, NJ 07079
OBTAINING YOUR RECORDS: We will require at least three (3) weeks advanced notice for all requests as here will be a limited staff during the closure transition. Please make arrangements to pick up your records. We will only fax 10 pages or less due to limited staff. There are fees for copying and/or faxing records. Please do not leave messages via the telephone/voice mail. ALL requests must be in writing and signed by the patient or legal guardian.