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PECAN TREE PEDIATRICS, P.A. fax number

(469) 757-4890

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Medical Records

Used for: Medical records release requests and related documents

Fax destination details

Department
Medical Records
Purpose
Medical records release requests and related documents
Form
Records Release — Authorization to Release/Discuss Records
Address
201 E I-30 Ste 100, Rockwall, TX 75087-5402
Voice phone
972-772-3100

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Fill patient name, date of birth, recipient name and address, purpose of release, and records to be released; sign and date; submit to Medical Records for processing.

Official form instructions are published as a downloadable file on the organization's website.

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