This is an electronic version of the Release of Medical Records Request. Patients wishing to give their new doctor access to their medical file should fill this form and have it sent to the office of the old doctor(s).
Modified on: Tue, 2 Aug, 2016 at 3:54 PM
This is an electronic version of the Release of Medical Records Request. Patients wishing to give their new doctor access to their medical file should fill this form and have it sent to the office of the old doctor(s).
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