Request Medical Documents

At Louisville Family ENT, we take the our responsibility for your private medical record very seriously. We understand that many situations arise in which a person will need a copy of their medical record.

To obtain a copy of your record, fill out the medical document release form and submit it online or print the form and send by mail or hand deliver to our main office:

Louisville Family ENT
Attention: Medical Document Release Form 4003 Kresge Way
Suite 227
Louisville, KY 40207

The form can be submitted in person between the hours of 9am and 4:30 pm, Monday through Friday.

Patients, parents of minor patients, powers of attorney, and legal guardians are able to obtain a medical record with the appropriate form.