Medical Records


hippa authorization form
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HIPPA Authorization
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To obtain your imaging studies or reports, please call 201-445-8822, press 0 at the prompt. Please note we require 24 hours notice.

If you will be sending a family member or friend to pick up your medical records, please complete the attached Hipaa Authorization Form.

Please be sure to include the exam information (name and date of procedure) on the form. Your medical records cannot be released without a Hipaa Authorization Form signed by the patient. The form may be faxed to our office at 201-447-5053 or hand delivered by the family member.

HIPPA Authorization