Medical Records Release Form

     Download your Medical Records Release Form here

You may use this form to request your medical records from Copper Ridge Surgery Center.  Please be sure to complete the form in its entirety including name, address, and your signature, as well as the fax number, email or mailing address of where the records are to be sent.   The form can then be sent back to CRSC using either of the following:

Fax:
231-392-8973
 
Mail:
Copper Ridge Surgery Center
Attn: Medical Records
4100 Park Forest Drive
Traverse City, MI 49684
 
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"Everyone was friendly from check in to discharge. I am very impressed and pleased. You have a fabulous staff. It couldn't possibly have been a better experience. "
- Claudia
"If procedures are necessary, it is a pleasure having them done at the Surgery Center. All processes have been well thought out and streamlined with the patient in mind. There does not seem to be any unnecessary steps or duplication of effort."
- Gary
"Excellent care --- and my anesthesiologist was very caring about my comfort throughout the surgery."
- Ellen
"Always such a nice experience here when you're having medical procedures done. It's never fun, but I try to be positive about it and the staff and docs are great. Glad to find good care here 'Up North.' "
- Heidi P.
"The staff was great at making us feeling comfortable sending our 3-year old in for surgery. They put our minds at ease and he is recovering great. Thanks! - Grant"
- Grant
"The follow up phone calls both from the surgeon and nurse were very comforting, and appreciated. All in all, a first class operation; thanks for your caring"
- Lee M.
"All of the staff were incredible - particularly the nurses that won over my 4-year old in record time, so that he happily and willingly went back with them for his surgery with no hesitation, and the nursing staff that helped care for him post-op. Truly incredible people!"
- Jennifer