Hollywood: 301.373.3065
Upper Marlboro: 240.339.1306
Waldorf: 301.374.9137

Man Looking at Medical Record Portal Registration

"My Page"

Register to access your child's medical records or the
record of an individual for whom you are a legal guardian.

Complete both sections of this form if you are requesting access to a record through "My Page".
Person requesting access to records:  download this form, print, and complete all fields.