Complete the form linked below and email or fax it to the contact listed at the bottom of page two. Our medical records custodian will contact you when your records are prepared. Â
Our fee for medical and billing records is $25.00, payable by credit card only. If you have forms that require a notary’s service, there will be an additional fee of $15.00.  Medical records are released within 3-5 business days of payment.
If you are a patient that is being treated by Next Level Urgent Care for a work injury, we are unable to complete FMLA or Short-Term Disability paperwork. This must go through your primary care provider. If you are a Next Level PRIME member, please push the orange button to contact your PRIME care navigator.
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