Medical Records Request | Ascension
Ascension Michigan Weight Loss Program - Madison Heights
Locations

Ascension Michigan Weight Loss Program - Madison Heights

  • Weight-loss and bariatric surgery
Google maps location of Ascension Michigan Weight Loss Program - Madison Heights

Address

27483 Dequindre Rd, #204
Madison Heights,  MI  48071

Phone

248-967-7326

Hours

Monday: 8 a.m. - 5 p.m.
Tuesday: 8 a.m. - 5 p.m.
Wednesday: 8 a.m. - 5 p.m.
Thursday: 8 a.m. - 5 p.m.
Friday: 8 a.m. - 5 p.m.
Saturday: Closed
Sunday: Closed

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Medical Records Request

As a patient, you have the right to access your medical records. Here you'll find instructions and a convenient form to help us process your request.

Under Federal and State law, a patient has a right to request a copy of his or her medical records. However, a completed written authorization is required prior to processing a request. For your convenience, we have made available a medical records authorization form that may be downloaded for your personal use. Be sure to specify the dates of service and the type of information needed. If you are requesting records be sent to you, you will receive a bill.

Questions? Call 1-313-343-6301.

Medical Records Authorization Form