Patient Forms

When requesting a copy of your medical records, please use the medical release form below. All forms are in PDF format for downloading and printing.

Medicare Annual Wellness Visit Questionnaire


Information Forms for Gastroenterology


Information Forms for Dr. David Blake, Lexington Neurology


Information Forms for Radiology


Information Forms for Commonwealth Urology


Lexington Clinic is Central Kentucky’s largest and oldest medical group. With 180+ providers in more than 30 specialties, we have been taking care of 600,000+ visits annually in the Lexington community since 1920.

1221 South Broadway
Lexington, Kentucky

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