Complete this form if you would like part or all of your record from our office sent to you or to another medical provider, or if you would like your records from another office sent to our office.

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**Important note** 

Because of the high volume of records releases received, Dr. Laura is doing her very best to complete releases in a timely manner. Do not be surprised if your records take longer than expected to arrive. If you need your records more urgently, please text or leave a voicemail at 402-932-4800 and your request will be prioritized. Thanks!