Forms

Medical Release Form

Treatment records are for the use of physicians, psychiatrists, psychologists or recognized professional or para-professionals only. Patients are not authorized to view their own records, but can authorize similarly qualified professionals to access these records on their behalf. See Confidentiality.

  • Download and Sign Consent to Release Form.pdf (65.09) 
  • Complete the form
  • Fax (403-329-2466) or scan and email it. 
  • We will then provide a copy of your chart to the physician of your choice
  • A copying fee may be charged for this service, if the chart is extensive.