New Patients to Reliant Medical Group

If you are a brand new patient to Reliant Medical Group and need to have records from your previous provider sent to Reliant Medical Group,  please complete the new patient release form located below and send it to your former healthcare provider (s) so that your records may be sent to us.

Click here for the New Patient Release Form

All other Patients

If you would like your medical record released to yourself or another facility, please send the completed authorization below to the address, fax or email listed on the form. You may also request your records through your MyChart account.

Click here for the Medical Record Authorization Form