Call Us Today (609) 585-8800

Patient Imaging Release

Please allow the Medical Record Department 24-48 hours to contact you regarding the details of your request from the time of your submission.

Please complete the form below if you would like a copy of your medical records sent to RAI from another facility. This form can also be completed if you would like your medical records sent from RAI to another facility.

Contact Information
Patient Information
Facility Information
Study Information

Statement of Release