Medical Records Request / Test Results Request

Your Health Information is protected with us. Donna Medical Clinic, Donna Day & Night Clinic and Elsa Medical Clinic are "paperless facilities". We employ a fully-integrated electronic health record called Cerner. This information technology allows for encrypted protection of your health information, with electronic logs of all access to the record and insurance privacy.

Specialty Practices and or hospitals who are associated with your care locally may request access to our EMR, and we may grant them access to ensure continuity of care and protocols relating to patient safety, best practices, and full documentation. If no connectivity is available, these practices may be provided with a digital copy ( i.e., a cd) of your pertinent record.

To ensure our patients’ privacy, a specific form has been created to authorize records release. Click on the appropriate button below to open up a Medical Request form.

Donna Medical Clinic Medical Request Form
Donna Day & Night Clinic Medical Request Request Form    
Elsa Medical Clinic Medical Request Form

These forms are in PDF format (.pdf). Please download and install the latest version of Adobe Reader if you cannot open the files.