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MEDICAL RECORDS


TRANSFERRING MEDICAL RECORDS IN:

To have your medical records transferred to our practice from another medical office, please complete this form and send it to your previous doctor's office.

 

TRANSFERRING MEDICAL RECORDS OUT:

If you would like us to send your Modern Dermatology medical records to another physician, please complete this form and send to info@moderndermct.com

 

TO REQUEST A COPY FOR YOURSELF:

If you would like a copy of your Modern Dermatology medical records, or those of a minor in your care, please complete this form and send to info@moderndermct.com