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Medical Records Request

Medical Records Request

In order to request a copy of your medical records, you will need to fill out a consent form for us to disclose your private health information.  Please fax this form to 833-471-4886 or email it to: colemedical@icloud.com with “MEDICAL RECORDS REQUEST” in the subject line.

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(945) 426-8057

(833) 471-4886

colemedical@icloud.com

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