Release of Records

Records Request

In order to request the release of your private medical records, please download and complete the 

Authorization for Release of Medical Information form below.

Upon completion of the form, you can submit it by fax, mail or in person at the Westwood Foot Clinic.

Release of Records

Connect With Us

Visit Us On FacebookVisit Us On TwitterVisit Us On Google PlusVisit Us On LinkedinVisit Us On Pinterest