Release Of Information

How do I obtain my medical records from Elite Pain?

Please print, complete and sign the attached form. You may fax it to us at 417.888.0189 or you may bring the completed form to our clinic.

Please Note:

Medical record requests are processed on a first-come, first-served basis. We typically have multiple requests at one time and get them out as expeditiously as possible. Please be patient.

Be sure to fill out the form completely. Your request could be delayed if you leave out dates, specific records requested or other details.

We will contact you when the records are ready to be picked up. Please bring a valid ID with you for verification.

Ready to transform your well-being and reclaim a pain-free life?

Contact us today and let’s start your journey to a healthier, happier you.