To receive a copy of your medical records, please download the form below. There is a $20 charge for processing a medical records request. Click on the icon below to access and print the medical records request:
Once you complete the form, please fax the completed form to Rock Creek Neurosurgery at (801) 465-0901.
You may also mail it to:
The complete form may also be directly delivered to our office location. Upon receiving a request for your medical records, the medical records will be delivered through the patient portal to insure patient privacy and compliance with federal laws regarding confidential patient records (HIPPA).The complete form may also be directly delivered to our office location. Upon receiving a request for your medical records, the medical records will be delivered through the patient portal to insure patient privacy and compliance with federal laws regarding confidential patient records (HIPPA).
Physicians or physician staff may call the office directly at (801) 609-9310.
Please call the office with any questions.
Rock Creek Neurosurgery
Payson
15 South 1000 East, Suite 225
Payson, Utah 84651
American Fork
1248 East 90 North
American Fork, Utah 84003
Draper
96 E. Kimballs Lane Building 3 Suite 409
Draper UT 84020
Main Office Phone: (801) 609-9310
Billing Phone: (385) 404-0115
Fax: (801) 465-0901