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CNY OBGYN

Call Today: (315) 445-2701

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    • Home
    • About Us
      • About Us
      • Our Staff
      • Giving Back
    • Our Services
      • Our Services
      • Tele-Medicine
      • Gynecology
      • Fertility & Obstetrics
      • Cosmetic Services
    • Our Patients
      • Patient Safety
      • Patient Forms
      • Patient Support
      • Billing & Insurance
      • Portal
    • Contact Us
      • Contact Us
      • Records Release Request
      • Family Photos
CNY OBGYN

Call Today: (315) 445-2701

  • Home
  • About Us
    • About Us
    • Our Staff
    • Giving Back
  • Our Services
    • Our Services
    • Tele-Medicine
    • Gynecology
    • Fertility & Obstetrics
    • Cosmetic Services
  • Our Patients
    • Patient Safety
    • Patient Forms
    • Patient Support
    • Billing & Insurance
    • Portal
  • Contact Us
    • Contact Us
    • Records Release Request
    • Family Photos

Records Release Request

Medical Record Requests - Providers and Prior Patient

If you are a prior patient or a provider requesting medical records, please mail, fax or hand deliver the signed medical record release request from your practice to our office and allow sufficient time for the records to be returned. 


Due to HIPAA compliance, requests without a completed Medical Records Release form, via phone or email cannot be honored.


Completed record releases can be faxed to 315-445-2847.  

Please allow up to 30 days for your request to be completed.

Please use the link below to download a copy of our Medical Records Release.

Records Release Form
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CNY Obstetrics & Gynecology

5800 Heritage Landing Dr, Suite C, East Syracuse NY 13057

Ph (315) 445-2701 Fx (315) 445-2847

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