You may use this form to request your medical records from Copper Ridge Surgery Center.  Please be sure to complete the form in its entirety including name, address, and your signature, as well as the fax number, email or mailing address of where the records are to be sent. The form can then be sent back to CRSC using either of the following:

 

Fax:

231-392-8973

Mail:

Copper Ridge Surgery Center
Attn: Medical Records
4100 Park Forest Drive
Traverse City, MI 49684