REVIVAL AIRDRIE, PAIN CLINIC AIRDRIE

MEDICAL RECORDS

Request Medical Records

To initiate a medical record request, click the link below to print the Revival Release of Information Form.

Revival Release of Information Form.

After completing and signing the document, please email this form to [email protected] or fax at 866-720-1055. Your request will be completed within 10 business days.

Send Medical Records

To send medical records you can use the following options:

  • Email to [email protected] 
  • Scan and fax to 866-720-1055. 
  • Bring a printed copy to your appointment

A team member will contact you in 1-2 business days to confirm that your records were received.