How do I request a copy of my medical records?

Complete an Authorization for Release of Information Form and send it back to us at:

Michael S Rogers MD PA
831 Kings Highway, Suite 100
West Deptford, NJ 08096

You can obtain a copy of the form by clicking here: RECORDS RELEASE REQUEST

If the link does not work, you may also request a copy of the form by calling us at 856-853-8730; please leave a message stating where the form can be either mailed or faxed to your attention. You may also request the form via your Patient Portal.


How do I transfer my medical records to your office?

Follow the same steps as #1, but click this link for a transfer release request: RECORDS TRANSFER REQUEST


How can I submit my request?

Send the completed Authorization for Release of Information Form in one of the following ways:

1. Mail to the address listed above

2. Via fax to 856-853-8870

3. Email to [email protected]


Is there a cost to obtain medical records?

The cost will vary depending on the request. Once the request is reviewed, an invoice will be mailed to you.

We do offer patients a “No Charge Abstract” option which includes a summary of the most recent office visit, immunizations, and preventative screening information.


How do I submit payment?

Payments can be made by check or by credit card. Credit card information can be accepted via phone. Please make checks payable to: Michael S Rogers MD PA


How do I get just my immunization information?

Contact your Physician’s office if you only need immunization history. They will be able to provide you this information.


What is the processing time for medical records?

Processing times vary based on the request.


How do you send my medical records?

Medical records are always mailed from the Medical Records Department. We do not fax or email records.


Can I pick up my medical records?

Medical records can be picked up at the address listed above, only if arrangements have been made in advance by calling 856-853-8730.