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Release of Information Forms

  • In order for us to send or recieve patient information, please download and complete the appropriate forms below.  This will get you speeding through the process and limit your waiting time in the office.
  • Please contact our office at 435-843-8380 with any questions.
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Request For Medical Records

Complete to request medical
records from another office

Request To Release Medical Records

Complete to release medical records to another office
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