When requesting a copy of your medical records, please use the medical release form below. All forms are in PDF format for downloading and printing
Medical Records Release FormLexington Clinic is committed to providing information in a timely manner. For your convenience, please download the medical records release form, fill it out and mail it to Lexington Clinic, Attn: ROI, 2450 Palumbo Drive, Lexington, KY 40509 or you may fax to (859) 395-0909. If you have any questions, please call (859) 963-4076.
Request for an Accounting of DisclosuresYou have the right to request an accounting of certain disclosures of your Protected Health Information (PHI). Your request must be made in writing. Please click on the link above to open the form, print, fill out and send to the address noted in the instructions on the form.