Watch for our next mobile bus, coming to the East Village Wal-Mart! • Mammograms should be scheduled once/year once you’re over 30 • 

Medical Records Request Form

Please allow up to 48 hours after your exam has been completed before requesting records.

You may access your patient portal at any time:

Patient Portal

    Full Name*
    Phone*

    Home Address*
    If you need a copy of your report sent to your physician, please enter their full name and correct fax number*
    If additional imaging or follow up has been advised by your physician, please let us know where you want your images sent:

    If you answered FACILITY above, please enter the name and address of the facility you would like them to be sent