A patient, or his/her legal representative, may obtain a copy of their medical records, or have copies of medical records sent to another facility.

Monroe Urgent Care requires a completed and signed Authorization for Release of Health Information form before releasing any documents to anyone, including the patient. In certain cases, a patient’s physician, psychologist or social worker may also be required to approve a request.

If you have questions about this process, please feel free to contact the Medical Records Department at 734-243-3200 extension 204.

Medical Records Release Form