How to obtain my Medical Records
To get a copy of your medical records, you must complete an authorization form. Download and print the release form below. If you are unable to download it, we would be happy to fax or mail a copy to you.
Complete an Authorization Form
The authorization form must be signed by the patient or legally authorized representative. Signatures other than the patient’s must have documentation of authority to sign.
Submit the completed authorization to the following address or fax number
- Seabrook Inc.
- 133 Polk Lane
- P.O. Box 5055
- Seabrook, NJ 08302
- Attention: Medical Records Department
- or Fax:856-455-5333