Medical Records

About our Process

To retrieve Medical Records, the form below must be completed and returned by fax, email, or dropped off at your Health Center. Please note that Medical Records may take up to 10 business to process.


If you are requesting Medical Records and you are the patient, patient representative, or third party, please use the authorization form below.

Authorization Form – English

Authorization Form – Spanish

Instructions – How to Complete the Form

Once the authorization form is completed, please submit it either by fax, email or drop it off at your health center.

Medical Records Department Information
Fax: 516-396-7511 | Email:

If you have any questions or concerns, please contact our Medical Records Department at 516-396-7513.