Step #1.
Download and complete the patient medical record authorization form by clicking on the blue button below.
Step #2.
- Upload the completed the patient medical record authorization form by clicking on the green button below.
- Enter your email, name and doctor's office name (Company) on the document repository page, then click "Continue".
- Drag or select your completed Patient Authorization form to the document upload icon in the center of the repository page.
- Once you see the document's file name listed, click the "Upload" button.