To request a copy of your medical records, please download and complete the Authorization to Disclose Health Information form linked below and mail or fax to:

Special Tree Rehabilitation System
Medical Records Department
10909 Hannan Road
Romulus, MI 48174

Fax: 734-941-7693

In compliance with HIPAA guidelines, requested records can be faxed, emailed (encrypted via Barracuda), or sent via USPS on an encrypted CD or paper copies. Our average turnaround time for processing requests is five to seven business days (some exceptions may apply).

For patients and/or patient legal guardians, the first copy is free. For additional copies, a processing fee will be charged. Releasing of health information to any third party other than the patient will include fees as allowed under the State of Michigan statute. Records needed for continuation of care will be faxed directly to a physician or medical facility.