Patient Records Request
Do you need copies of your medical records?
Axiom Care provides two different forms depending on your needs:
Use this form if you would like copies of your own medical records.
Use this form if you would like copies of your own medical records.
Use this form if you want Axiom Care to send your records to another person or organization
(such as a family member, doctor, attorney, or Social Security Administration).
If you are not sure which form to use, please contact us at
[email protected]
and we’ll help you select the right one.
[email protected]
and we’ll help you select the right one.