Tower Health Urgent Care requires a Personal Healthcare Information (PHI) Release Authorization to transfer your medical records. If you need to transfer medical records, please complete the PHI Release Authorization form and fax it to any one of our locations. (You can find the fax number on each individual location page.)

Tower Health Urgent Care Patient Forms

  • Medical Records Request[PDF]

    Print and fill out this form to request a copy of your medical records from a Tower Health Urgent Care.

  • Solicitud de Registro Médico[PDF]

    Imprima y complete este formulario para solicitar una copia de sus registros médicos a un centro de atención urgente de Tower Health.