*Required fields are marked with an asterisk.

Request My Medical Records





The physicians listed below are either no longer with Concorde Medical Group or in the process of leaving Concorde Medical Group

To retrieve your medical records from any of these physicians, please follow the 
instructions on this page:


For Dr. Mark patients,    Dr. Mark's last day was December 31st, 2022 . To request your medical records, please see the Authorization for Release of Health Information Form and follow the instructions on how to submit your request below.
For Dr. Htun patients,        Dr. Htun's last day was September 30th, 2022   . To request your medical records, please see the Authorization for Release of Health Information Form and follow the instructions on how to submit your request below.

For Dr. Borczuk patients,  Dr. Borczuk's last day was August 31st, 2022 . To request your medical records, please see the Authorization for Release of Health Information Form and follow the instructions on how to submit your request below.

For Dr. Vaidy patients, Dr. Vaidy's last day was August 9th, 2022. To request your medical records, please see the Authorization for Release of Health Information Form and follow the instructions on how to submit your request below.
For Dr. Eric Sherman patients,  please see the Authorization for Release of Health Information Form and follow the instructions on how to submit your request below.

For Dr. Stuart Lewis patients,  please see the Authorization for Release of Health Information Form and follow the instructions on how to submit your request below.

For the physicians in the list,  please contact the number provided and the office will assist you:
 Dr. Brettholz  (212) 889-5544
 Dr. Cohen  (212) 889-5544
 Dr. Fors  (212) 889-3119
 Dr. Friedlander  (212) 889-5544
 Dr. Khaykis  (212) 889-5544
 Dr. Klavan  (914) 821-5350
 Dr. Oneto  (212) 889-5544
 Dr. Peck  (212) 213-3233
 Dr. Salik  (212) 889-5544
 Dr. Schwartz  (212) 889-5544
 Dr. A. Sherman  (212) 889-5544
 Dr. Solitar  (212) 889-3119
 Dr. Weber  (212) 889-5544
 Dr. Zweig  (212) 725-7841

Thank you!

__________________________________________________________________________

If you would like to request medical records from Concorde, please click the below link to complete the Authorization for Release of Health Information form: 

*  Although part of the  HIPAA form relates to sending records via email and fax, it is NOT a method of record transmission that Concorde currently supports.

How to Submit Your Request:
You can complete this form electronically and email it as an attachment to ConcordeMedicalGroup@northwell.edu or fax the completed form to (212) 253-9631.

If you are unable to complete this document electronically, or are unable to print and complete, please call your  provider's office and a copy will be mailed to you.