Medical Records

The medical records of any Cooper Clinic patient are shared by all Cooper Clinic physicians.  If you wish to transfer your medical records to a non-Cooper Clinic physician, a completed and signed Release of Information Form is required. 

The Release of Information form is available at any Cooper Clinic location or click here to print a copy.  When the form has been completed, you may:

• Submit at any Cooper Clinic location

• Mail it to:     
  Cooper Clinic, P.A.
  Attn: Release of Information
  6801 Rogers Avenue
  Fort Smith, AR  72903

• Fax it to: 479-478-3779

Please take note of these important policies regarding your medical records:

• Cooper Clinic cannot FAX your medical records to any entity.
• There is no charge for copying and transferring Cooper Clinic medical records directly to a non-Cooper Clinic physician.
• The charge for releasing medical records directly to a patient is as follows:

$5.00 for the first 5 pages and 25¢ for each page thereafter.

• Please allow 5-7 business days for your request to be processed.

If you have any questions or need assistance completing the Release of Information form, please call Release of Information at 479-478-3783 or 1-800-333-1305.