Complete the Release of Information and the Consent To Communicate forms above, attach both forms to the message box on the left, include your name, DOB, phone#, mailing address, and e-mail address. We will contact you to make arrangements to verify your identity via video communication.
Please note that we do not fax records.
Complete the Consent To Communicate form above, attach form to the message box on the left, include your name, DOB, phone#, and mailing & e-mail addresses. We will contact you to make arrangements to verify your identity via video communication.
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