8080 Academy Rd. NE, Suite A
Albuquerque, NM 87111
Tel: (505) 247-9700
Fax: (505) 247-4333
If you need a copy of records for yourself, you have two options.
1. Access the patient portal. There will be a summary of each of your visits there. There is no charge for you to download this information
2. Either call our office at (505) 247-9700 or visit us and request your records. There will be a fee.
Please allow 10 to 14 days processing time.
If you need a copy of records for a referral. Please fill out the following HIPAA form and send it to our office to the attention of our record clerk. We will be happy to send a copy of your last three office visits to the physician.
HIPAA Release for Authorized Person or Medical Provider
We will send the records immediately; however, please be aware that sometimes faxes do not go through. Please check with your referral to make sure the office received the information.
If you need a copy of your records for legal purposes, please contact our office and ask for our Records Clerk. She will forward an invoice to the individual requesting the records.
We require a specific type of HIPAA form. Please use the form below or use one that contains the same waiver of all confidential information. Because we are a pain clinic, we require a complete waiver.
HIPAA Release Form For Legal Purposes