Medical Record Requests
Tri-Valley Orthopedic Specialists respects the health information rights for our patients and has partnered with Provider1st to securely provide medical records to patients, guardian/legal representatives or 3rd party requestors with authorization. Please use the online portal below to submit your medical record requests with proper authorization.
You can also request Medical Records by Email: (requests@provider1st.com) or Fax: (800- 818-2114) with proper authorization information. If you have any questions or would like to check record status you can reach Provider1st by phone at: 855-514-2378
Request Medical Records
Authorization for Release of Medical Information
DR. LIU – Initial Comprehensive Pain Questionnaire
Dr. Long – Spine Patient Questionnaire
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