Release of Records

Head & Neck Surgery of Kansas City, PA requires a signed Release of Records form by the patient or legal guardian before a patient's medical records can be released. 

Please download, complete, and sign the Release of Records form below then either fax, mail or bring it to our office.
 

For Patients & Physicians

Fax form: (913) 599-2992

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For Non-Patients & Non-Physicians

Phone: (888) 411-3340

Email: roi@mwmed.com

Fax form: (913) 491-3001

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Our Office Address:

Head & Neck Surgery of Kansas City, P.A.
5370 College Boulevard #100
Overland Park, KS 66211