If you would like to request copies of your records, a Release of Information (ROI) form must be completed.

The ROI form will need to be
• faxed to: 718-228-9314
• or emailed to: nmontesani@bcsnygroup.com

You may also bring the form in person.

We cannot accept this form via email.

BCS ROI Form in pdf format:
CLICK TO DOWNLOAD

BCS ROI Form in Microsoft Word format:
CLICK TO DOWNLOAD