Authorization to Release Medical Records:

Your records, ultrasounds, and labs are shared only with your referring obstetrician or midwife in order to coordinate care. To authorize the release of medical records to any other doctors, please download and fax us a:

Permission to release records (.pdf)

Referring Doctors:

To refer a patient to us, please completely fill out and return the following form. Please attach and include all relevant records, labs, ultrasounds, and demographics information to ensure an efficient scheduling process.

Referral Form (.pdf)