RELEASE OF INFORMATION
If you need us to work with another provider regarding your continued care, or if you are requesting that your SCC records be sent to a new provider, please FULLY complete our
If you need help filling it out, please call the office at 865-974-2196. You must attach a copy of a valid photo ID (like your driver’s license). When you have completed the form and have a copy of your ID, you can fax it to 865-974-7039, or save both items to a PDF and send it to email@example.com.