Records Request – NEW

My visit was fast and orderly. The staff was friendly and professional.
—Mobile Health Patient

Medical record requests are available online via this form. All required fields must be completed and payment must be made after clicking on the Buy Now button at the bottom of the form.

Medical records are mailed to the address entered on this form and are available in two processing options:

  • Processed and mailed within 10-15 business days. ($5)
  • Processed and mailed within 5 to 7 business days. ($15)

Medical records may still be request via the mail. Click for instructions.
If you have questions about your medical record request, please contact Mobile Health directly.

Please complete all required(*) fields below to request a copy of your medical record:



  • Date Format: MM slash DD slash YYYY
  • Delivered in number of business days
  • American Express