Medical Record Request Forms

REQUESTING MEDICAL RECORDS

Reproductive Medicine Associates of New Jersey (RMANJ) understands and acknowledges the need for our patients to have access to their personal medical records. Medical release authorization forms can be accessed and downloaded below. Depending on how you are submitting your request for medical records, please allow at least 1-2 weeks of processing time. Digital delivery like email or fax may take the shortest time, compared to hard copy requests that need to be mailed.

Completed medical release forms may be faxed to 973-290-8370 or dropped off in person at any RMANJ location.

DOWNLOAD YOUR MEDICAL RELEASE FORMS BELOW