You may request them at [email protected] or via fax at 615-324-1648. Please note all radiographic images will be on a CD-R disc, and we are unable to email or print any images. To receive your medical records, please complete this release form. In order to enable an electronic signature, you must download the form to your computer. If you are unable to use an electronic signature, please print the document to sign and send it as a scanned file. Please email your completed form to [email protected].