Our practice does not accept any records request by fax, email, and personal service You must upload your request for records from our secure Request Upload Module. If you are unable to upload, mail your request for records to our Request Processing Center located at 1142 S. Diamond Bar Blvd #310, Diamond Bar, CA 91765.
The "treating doctor's name" and the "treating location address" must be specified in your request for records. Your Subpoena or HIPAA Authorization request must be directed to "NonSurgical Medical Group" —Records Source is not a medical provider, treating facility or our Custodian of Records.
NonSurgical Medical Group
Kelsey Peterson, Jr., MD
3801 S. Harbor Blvd Ste B
Santa Ana CA 92704Get Directions
DO NOT serve our practice, our staff will not process your request.
Update your database, and serve your request for records from My ROI Portal. If you are unable to upload, mail your request to our Request Processing Center.