Medical Release Authorizations

The following link is a Medical Release Authrorization form that must be filled out before any medical information can be released.    Medical Release Form 

This form must be filled out and signed and faxed or mailed back to Cleveland County Billing Department  before any information will be given out.   Fax: 704-484-4990. 

To email any correspondence or to obtain any other information contact Brenda Allen at  ccemsballen@yahoo.com