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If you need your medical records transferred to another facility we require a signed medical release form in compliance with the HIPAA guidelines. In most cases we are unable to fax records but we can mail them or you can pick them up. Please allow 2 to 3 business days from the time we receive your request to get your records sent. If you have any questions please call us at (801) 277-2682.
If you would like to download a release form please click here.
Download release form (PDF)
(Requires Adobe Reader):
You can mail or fax the completed form to our office:
4624 S. Holladay Blvd.
SLC, UT 84117
Fax: (801) 277-2980
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