To request a copy of part or all of your medical record from the Unified Clinics, please choose the option that is best for you:
Come to the Unified Clinics 3rd floor reception desk to fill out a release of information form in person.
To receive a blank release of information form that you will fill out and return to the Unified Clinics, please email Richelle Warnock at . For all business days: (Monday through Friday 8 AM, to 5 PM), email responses occur same day, within business hours. Please allow for 10 working days for requests to be processed, unless otherwise specified. We will do our best to prioritize requests marked as urgent.
Call the Medical Records Office at (269) 387-7038 in order to make arrangements via fax.
Medical Records Fax No. (269) 387-7310
Unified Clinics/Medical Records
1000 Oakland Drive, 3rd Floor
Your request will be processed and fulfilled within 10 working days. We will either mail records to the address specified on the authorization form, or you may pick up your copy from our office located at the address above 8 a.m. to 4:30 p.m., Monday through Friday. Releases that are not signed cannot be processed.
Medical Records Supervisor
(269) 387- 7038