Request Records from CCRC
To request medical records from CCRC, please use the appropriate link below and follow the prompts.
If you’re unable to complete your records request via the above links, records requests can also be submitted by sending the completed Release of Information form via fax (678) 710-2559 or by mailing to the address listed below.
Associated Surgeons & Physicians
dba Center for Colon & Rectal Care
7988 W Jefferson Blvd
Fort Wayne, IN 46804
To check the status of a request, please call 800-367-1500.
Sending Records to CCRC
Please contact the facility that needs to send records to CCRC. The facility may require you to complete their Release of Information for. If so, please use CCRC’s information (as shown below) as the “Receiving Entity”.
Associated Surgeons & Physicians
dba Center for Colon & Rectal Care
7988 W Jefferson Blvd
Fort Wayne, IN 46804
Fax (260) 436-0784