Records request

Requests must be made in writing on our form. You can complete it online (below), print the PDF, or ask us to mail you a paper copy or have one ready to pick up. Return it however is easiest for you. Using our form makes sure you receive exactly what you need and know about any costs ahead of time.

We aim to respond within 7 days. More complex requests can take up to 30 days. Please allow for this, and for delivery time, in your planning.

You choose how your records are delivered. We recommend mailed paper records with x-rays on a disc, which nearly every office can use. Emailed records are sent encrypted. We recommend against printed x-rays, which lose some diagnostic quality, and strongly recommend against faxed x-rays, which lose nearly all of it. Keep in mind that your record includes personal information such as your address, phone number, medical history, and Social Security number. We will do our best to accommodate your request.

You may request all or part of your records. When changing dentists, the most useful records are your most recent exam, any treatment since, and all current x-rays. If you need something more specific, we will do our best to provide it.

Each patient needs a separate form. We know this is a hassle for families who are moving, but the law doesn't give us a way around it.

There may be a fee. We charge only our actual cost for copying, preparing, and mailing records: $0.15 per page, $5 per disc or other digital media, $25 per hour of staff time, plus postage. We waive these fees for the most commonly requested records. If you'd like an estimate first, just ask in writing.

Requests must be complete, lawful, and legible. We verify every request to protect your privacy, so please fill out the form completely. If we have to deny a request, we will notify you as the law requires.