Canton Women's Center, Logo

Phone Icon (330) 966-9090

RECORDS RELEASE FORM

If you need a Records Release Form to FAX records to another physician please CLICK HERE for a fillable FAX release of records form

If you are not sure where you are going or have not secured an appointment elsewhere we can transfer your records into a PDF file and place them in a USB flash drive ($10 cost). Please CLICK HERE for a fillable USB release of records form