*Required fields are marked with an asterisk.

Request My Medical Records

The physicians listed below are no longer with Concorde Medical Group as of 1/1/2020. To retrive your medical records from any of these physicians, please call their office number listed below:

 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  (212) 889-5544
 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

Their office will assist you in retrieving your medical records. Thank you!

If you would like to request medical records from a current Concorde provider, 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, it is NOT a method of record transmission that Concorde currently supports.

How to Submit Your Request:
You can complete this form electronically and reach out to your provider's office to determine the best method to return the form electronically. Note, you may need a Patient Portal account to return the form electronically.

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. Once complete, if you would like to fax it to us, please see below fax information.

Fax Numbers (by location and physician)

232 E 30th Street, 
New York, NY 10016    
 Dr. Ackert   (212) 889-0850
 Dr. Tobias   (212) 889-0850
 Dr. Marchetta  (212) 253-9631

235 E 38th Street, New York, NY 10016 
Fax for the location: (212) 599-4554
 Dr. Blochin  Dr. Silvershein
 Dr. Mark  Dr. Weisenfeld
 Dr. Maryles    

135 E 37th Street,  
New York, NY 10016
 Dr. Borczuk  (212) 677-8501
 Dr. Dilling  (212) 679-4275
 Dr. Mazza   (212) 677-8501
 Dr. Huang  (212) 679-4275
 Dr. Wagner  (212) 679-4275

38 E 32nd Street, 
Suite 801, New York, NY 10016
Fax for the location: (212) 684-4775
 Dr. Berger  Dr. Spiegel
 Dr. Dwivedi  Dr. Weisenfeld
 Dr. Rosenberg  Dr. Weinberg

38 E 32nd Street, 
9th Floor, New York, NY 10016 
 Dr. Friedman   (212) 684-4712
 Dr. Keil   (212) 725-3660 
 Dr. Kwon   (212) 684-4712
 Dr. Lebeau   (212) 725-3660 
 Dr. Lewis   (212) 725-3660 
 Dr. Rosenzveig   (212) 684-4712
 Dr. E. Sherman   (212) 725-3660 

38 E 32nd Street, 
Suite 802, New York, NY 10016 
Fax for the location: (646) 638-1440 
Dr. Engel
Dr. Ho
Dr. Vaidy

677 Madison Avenue, 
Sub-Cellar Level, New York, NY 10016 
Fax for the location:  (212) 726-9476
Dr. Margolis

551 Madison Avenue, 
7th Floor, New York, NY 10022 
Fax for the location: (646) 755-8533
Dr. Belsky