CoreMD Clinic – Secure Document Upload

Use this secure form to upload documents requested by your physician. All information is encrypted and confidential.

This form is intended for non-urgent document submission only. Please do NOT use this form for emergencies or urgent medical concerns. If you are experiencing an emergency, call 911 or go to the nearest emergency department. Submitted documents are reviewed within a reasonable timeframe and do not replace a medical consultation.

Full name

Date of Birth

Email address

Upload your documents (PDF, images, lab results)

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