You can mail this form (printed, signed, dated, and witnessed) to GhearingMD at 150 Timberland Drive, Livingston TN 38570, or fax it to GhearingMD at 931-899-1213. In accordance with TN state law, there will be a nominal $20 fee charged for records of 5 pages or less, plus $.50 a page for any pages copied over the initial five. Your records will be sent within thirty days.