Record Request

Welcome to the Red Rock Records Portal.  Please complete the form below to submit a request for records and bills.  If you need an Affidavit completed with your Records Request, please upload at the bottom of the form.  If you are a third party, please upload the patient-signed HIPAA Release form with your request, and the attorney’s affidavit, if needed.

Injured Party Information

Attorney Information

Requesting Party Information

If you have trouble with this form or need to contact us directly:

Phone: (833) 277-7625 / Fax: (702) 202-2052

Red Rock Diagnostics, LLC ∙ P.O. Box 26119 Las Vegas, NV 89126