Click the form name to open
Use this form to request medical records. Fax or mail to the office you normally visit.
If you are changing your PCP (Primary Care Provider), please contact your insurance company with the name of your new doctor.
Amherst/Hopkins - (716) 829-2447
Sheridan - (716) 829-3014
BestSelf (previously known as Lake Shore) and Conventus - (716) 829-3004
Please allow up to 30 days, although we generally can process closer to 2 weeks.