FAMILY PRACTICE CENTER OF NEWTOWN
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      • SHELLEY WIGLER CRNP
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MEDICAL RECORDS RELEASE FORM
MEDICAL RECORD RELEASE FORM
File Size: 29 kb
File Type: pdf
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Medical records are documents that explain details about a patient's history, clinical finding, diagnostic testing, pre and post operative care, patient progress and medication.

If you want to transfer records from multiple doctors. You will need to print and complete the release form for each doctor.

If you are a new patient, please complete the medical release form(s) prior to your appointment. Please be sure to bring the form(s) with you to your first appointment.

If you are a current patient, please bring the form(s) to your next appointment or drop the form(s) off at the office.

We will fax the medical release form to the doctors. However if you have access to a fax machine you can fax the form(s) to your doctors directly.



CARING FOR OUR COMMUNITY ONE PATIENT AT A TIME

CALL OUR OFFICE TODAY TO SCHEDULE AN APPOINTMENT
215-968-1616
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  • HOME
  • ABOUT
    • ABOUT US
    • PROVIDERS >
      • DR SPRATT-TURNER D.O.
      • SHELLEY WIGLER CRNP
  • OUR SERVICES
    • FAMILY MEDICINE
    • PREVENTATIVE CARE
    • EDERLY CARE
    • MEN'S HEALTH
    • WOMEN'S HEALTH
    • IN-OFFICE PROCEDURES
    • MEDICAL MARIJUANA
  • PATIENT RESOURCES
    • YOUR FIRST VISIT
    • HEALTH INSURANCE
    • NEW PATIENT FORMS
    • MEDICATION LIST FORM
    • RECORD RELEASE FORM
    • HIPPA NOTICE
    • PATIENT PORTAL
  • PATIENT PORTAL
  • CONTACT US