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Medical Record Request
BE KIND TO MOTHER NATURE, WE PREFER TO RECEIVED AND SEND ELECTRONIC RECORDS VIA OUR EMAIL OR OUR ELECTRONIC FAX
Please read carefully and choose the correct form for your request.
Upon completion, you may chose to mail, email, or fax the form to us.
Your request will be process within 2-5 business days.
For urgent request, please give us a call at 727-391-4100.
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