☏ TEL:(212) 457-1491 📠FAX:(469) 210-8571

EAST VEIN CENTER
245 5th Avenue 
New York 10016
EAST VEIN CENTER
245 5th Avenue 
New York 10016
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    • Dr Puggioni
    • The Nomad Office
  • Conditions
    • Varicose veins
    • Leg swelling
    • Spider veins
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    • Medical records
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    • HOME
    • About
      • Dr Puggioni
      • The Nomad Office
    • Conditions
      • Varicose veins
      • Leg swelling
      • Spider veins
    • Patients
      • Patient Portal
      • Billing
      • Contact Us
      • Medical records
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  • HOME
  • About
    • Dr Puggioni
    • The Nomad Office
  • Conditions
    • Varicose veins
    • Leg swelling
    • Spider veins
  • Patients
    • Patient Portal
    • Billing
    • Contact Us
    • Medical records

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Records Request - NY patients

Questions about your medical records? Send us a message

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Medical Records are available on the PATIENT PORTAL and is the fastest way to obtain them.


Alternatively, you can ask for you records in writing-although it might take up to 30 days-  you can Fax us a records request (FAX 469-210-8571), or send an email to: records@eastveins.com


ALL RECORDS REQUESTS IN WRITING REQUIRE THE HIPAA FORM AT THE BOTTOM OF THIS PAGE TO BE FULLY COMPLETED ATTACHED AND . 

NO RECORDS CAN BE RELEASED WITHOUT THE SIGNED FORM

Arizona Patients only: call 303-373-5764 (not available to NY patients)

RECORDS REQUEST - NY PATIENTS

HIPAA Authorization (docx)

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