Medical Records

To request a copy of your medical records, please download and complete this form (insert link to Authorization to Release Medical Records form here). Completed forms may be emailed to our Medical Records Department at [email protected] or mailed to:

Alliance Physical Therapy Group
Medical Records Coordinator
607 Dewey Ave NW, Ste 300
Grand Rapids, MI 49504

Forms may also be faxed to 833-734-1183 attention Medical Records Department.