Patient Resources

Medical Records Release

Our office requires a Medical Release form in order for you to receive your records or for your records to be sent to another physician’s office. There will be a $30 fee for you the patient to receive a copy of your medical records. If you request your records be sent to another physician’s office there will be no charge.  In the case that we refer you to another physician we will send your records to that physician without a consent due to coordination of care.

Click the link below and print the Medical Release form. Please fill it out and fax to our office 336-275-4702 or place in the mail to Greensboro Gynecology 719 Green Valley Rd Ste 305 Greensboro NC 27408.  Please allow up to 2 weeks for your request to be completed.