Medical Release Forms

Your medical records are confidential, and a copy can be transferred to another doctor or released to you or another person only through your permission. If you choose to have your records transferred, you will need to sign an authorization form allowing us to release your records. The front desk can provide you with an authorization form or you can download a copy here.

Medical Release Form Available

Download Medical Release Form

Click HERE to view and download the medical release form for all locations and providers — Once complete you can fax it to (732) 818-0087 OR mail it to:

The Derm Group c/o CG Healthcare Solutions
Attn:  Medical Records LLC
40 Bey Lea Road, Suite A101
Toms River, NJ 08753