Medical Records and Forms


Medical Records

Our medical records request process ensures your medical records are safely and confidentially maintained, while providing you ready access when you need them. Keep reading to learn more and download forms. Also be sure to know your medical records privacy rights.

Birth or Death Certificates

Birth and death certificates are legal documents managed by the state. Please contact your County Vital Records (PDF)

Immunization Records

If you need additional information regarding your immunization records, please contact your state's immunization office.

Advance Directives

Advance directives are legal documents that allow you to spell out your decisions about end-of-life care ahead of time. They give you a way to tell your wishes to family, friends, and health care professionals and to avoid confusion later. For more information on advance directives or to download the Navicent Health Advance Directive form please click the links below:

Requesting Your Medical Records

There are a few ways you can request copies of your medical records, depending on the type of information you need and the facility you would like to receive records for. Please select the healthcare facility you would like to obtain records from for more information.

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Terms of Use

I give permission for Navicent to use the information I supply on this form to fulfill my request for a physician appointment and to contact me for that purpose.
I certify that I am at least 18 years old and I acknowledge that I have read and accept these terms and agree to use this form to request a physician appointment.
Because we value your privacy, your personal information will not be used other than to schedule an appointment.