Release of Information / Request Medical Records

Request Medical Records

  1. Print the Authorization to Release Information Form.

    Right-click to download

  2. Complete, Sign and Date Form.

  3. Return Form to AOC by:

    • Fax to AOC ROI Dept: (251) 410-3641
    • Hand Deliver to 2nd Floor Information Office
    • Mail to Alabama Orthopaedic Clinic
      ROI Department – 3rd Floor
      3610 Springhill Memorial Drive North
      Mobile AL 36608
  4. AOC will process your request and contact you.

    Please allow 7 to 10 Business Days to complete your request. Once the completed release form is received in the ROI Department, your request will be processed.