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All Star Pediatrics LLC fax number
(610) 524-8574
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Medical Records
Used for: Medical records release / records transfer requests
Fax destination details
- Department
- Medical Records
- Purpose
- Medical records release / records transfer requests
- Form
- Records Transfer Request — SPECIALIST RECORDS TRANSFER REQUEST
- Address
- 702 Gordon Drive, Exton, PA 19341
- Voice phone
- 610-363-1330
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
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- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Print the form, fill patient name, date of birth, authorize release to the specified entity, indicate items to release, sign, and date. Include recipient details and purpose.
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