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






SUBMIT FORM VIA EMAIL OR FAX TO:

records@redrockdiagnostics.com

Fax: (702) 362-5132

Questions? Call us at (877) 362-6077

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