Obtaining CRCCS Medical Records

To obtain your child’s medical records, please select your primary clinic location below to download our request form:

Completed requests can be mailed, faxed, or hand carried to our office. Please allow 7-10 business days once we receive your request.

Releasing Medical Records to CRCCS 

Prior to your child's initial visit please request all pertinent medical records from your referring provider. This request must be in writing. Download and submit our form to your referring provider after scheduling your appointment. 

Patients over 18 - CRCCS Disclosure Authorization 

All patients over 18 years of age must submit written authorization to release both medical records and verbal communication to specified guardians. This allows our clinic to continue regular care with our 18+ patients and their families. 

Click here to download our form. Please hand carry the completed form to your next visit with us. 

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