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Holyoke Pediatric Associates, LLP fax number
(413) 536-1087
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Pediatrics
Used for: Medical records release/transfer
Fax destination details
- Department
- Pediatrics
- Purpose
- Medical records release/transfer
- Form
- Authorization for Release of Medical Records — Authorization for the Release of Medical Records
- Address
- 150 Lower Westfield Rd, Holyoke, MA 01040-2767
- Voice phone
- 413-536-2393
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
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Fill patient demographics; specify the recipient organization and purpose; choose whether to release the entire record or a time-limited portion; sign and date; the form is valid for 12 months.
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