top of page

> Release of Records
Head & Neck Surgery of Kansas City
Release of Records
// Existing patients
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
For Non-Patients & Non-Physicians
Phone: (888) 411-3340
Email: roi@mwmed.com
Fax form: (913) 491-3001
Our Office Address:
Head & Neck Surgery of Kansas City, P.A.
5370 College Boulevard #100
Overland Park, KS 66211
Anchor 1
bottom of page