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Request your medical records

Use this secure form to request copies of office visit notes, imaging reports, operative reports, billing summaries, or your complete record. Requests are typically processed within 7–10 business days.

Patient information
Records requested

Leave the dates blank to request all available dates.

Delivery method
Recipient

Who should receive the records? *

Please provide either a recipient email or a mailing address.

If you are not the patient, upload proof of authority — for example a HIPAA authorization, power of attorney, or guardianship papers. PDF, JPG, or PNG, up to 8 MB.
Authorization & signature

I authorize Argires Specialty Group (Argires Marotti Neurosurgical Associates of Lancaster) to use or disclose my protected health information as requested above. I understand that this authorization is voluntary, that I may refuse to sign it, and that I may revoke it at any time in writing, except to the extent action has already been taken in reliance on it. Information disclosed to a recipient who is not covered by federal privacy rules may be re-disclosed and no longer protected.

Fields marked * are required. For emergencies, call 911.