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To Request Your Medical Records

  • Please download the Release of Information form below.
  • Print, then fill the form out per the information being  requested.
  • Option 1 - Please Mail the form via U.S. Postal Service to PO BOX 34752, KANSAS CITY MO, 64116
  • Option 2 - Please FAX the completed form to 1-(816)-841-3596


We will ensure the Records Custodian processes your request, timely.

Download Release of Information Request Form

For Dr. Steven Smith (pdf)Download
For Dr. Dustin Woyski (pdf)Download
For Dr. John Swab (pdf)Download

Frequently Asked Questions

Northland Orthopedics and Sports Medicine Back office is still working for you. Please simply mail the form to the address provided and they will be receiving mail daily and processing your request as soon as they are able to. 

Northland Orthopedics and Sports Medicine as a business and practice is closed effective 12/31/2023. However, your Physician is moving to a new practice. Please follow your Physician to their new practice location and you can contact them in the information provided at www.northlandosm.com home page. We Appreciate your support and we are honored to support your healthcare needs.

Northland Orthopedics and Sports Medicine is still processing Accounts Receivable (AR). Please send payment by U.S. Postal Service to PO BOX 34752, KANSAS CITY MO, 64116. You may also call Northland Orthopedics and Sports Medicine Accounts Receivable at 1-(816)-841-3808. 

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