Medical Records Release Form From AOA and To AOA
Directions for completing the Medical Record Release Form
- Download the Medical Records Release
- Fill out the form completely, sign and date authorization.
- Include the name, phone number and address of where the records need to be sent.
- Include the visit dates or date range that is needed
- Include the appropriate Facility Name and Address of where you were seen (see the list below)
- Email the release to [email protected] or Fax to 828-253-1123
*Please note this release is for Asheville Orthopaedic Associates Office Notes only. Any notes from Physical Therapy, Surgery or Radiology Reports will need to be sent directly to that facility where you were seen.
Facility Name and Address:
These two locations can be listed on one release:
Asheville Orthopaedic Associates
111 Victoria Road
Asheville, NC 28801
Asheville Orthopaedic Associates
111 Victoria Road
Asheville, NC 28801
These two locations can be listed on one release:
Asheville Orthopaedic Associates at Clyde
360 Hospital Drive
Clyde, NC 28721
Asheville Orthopaedic Associates at Marion
1633 Sugar Hill Road
Marion, NC 28752
Medical Records Release Form
(click here to download)