Please print out this form if you need a copy of your records or you need your records sent to a different Doctors office and return to our office by one of the following ways:

 

Fax: (812)335-7372

 

Address: Bloomington OB/GYN

421 W. 1st St.

Bloomington, IN. 47403

 

Or stop by the office during normal business hours and drop off your release.

 

Thank you.