Medical Records
Most Commonly Asked Questions
Q: How would I request a copy of an Immunization Record or Physical Form (for school,daycare, camp,etc.) for my child?
A: Call our office or fill out a request on our website. There is a $10.00 charge for duplication of our Physical Form.
Q. How long will it take for these requests to be completed?
A: 24 to 48 Hours.
Q. Is there a charge for school, daycare, etc. forms to be completed?
A: If form is a NEW YORK STATE form there is NO charge. If form is other than a New York State form, YES, there is a $10.00 charge for these forms to be completed.
Q. How do I request a copy of my child’s medical records?
A: Completely fill out our form: "HIPAA Authorization Form To Release Information" and mail or fax to our office.Once request is received by our office, it takes 7 to 10 business days to be completed.
Q. If my child has not been seen by The Children’s Medical Group within 4 years, where would my child’s records be?
A: Off-site storage. All requests requiring your child’s chart to be pulled out of storage requires a $10.00 retrieval fee, unless child is returning to our practice.
Q. How do I return to The Children’s Medical Group?
A: 1. Call our office to schedule an appointment
2. Forms you will need to print & completely fill out are our:
"HIPAA Authorization Form To Receive Information From A Previous Provider" & "Return to Practice"
(If you are unable to do this, our forms will be given to you to be filled out at your child’s appointment.)
We'd be glad to hear from you regarding any medical record questions you may have.
Please call us at (845)-452-1700 Press #, then Press 5, Press 6, send us an email to .(JavaScript must be enabled to view this email address)
In This Section
- Patient Forms

- Practice Policies

- About Appointments

- Billing & Insurance

- Pay your bill online

- Medical Records

- Appointment Request

- Prescription Refill

- Patient Referral

- New Patient Registration

- PE/Immunization form

- E-Minders

- Join our Mailing List


