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Regional Rehab Associates, PA dba Jaffe Sports Medicine and Rehabilitation fax number

(855) 959-1692

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Medical Records Release

Used for: Medical records release / records transfer

Fax destination details

Department
Medical Records Release
Purpose
Medical records release / records transfer
Form
Medical Records Release — Medical Records Release
Address
1865 Veterans Park Dr Ste 101, Naples, FL 34109
Voice phone
1-239-254-7778

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Fill patient name and date of birth, reason for request, records requested (All Records or specific items), and designate the release recipient as Regional Rehab Associates, PA dba Jaffe Sports Medicine and Rehabilitation; indicate mailing or fax return option, and sign/date.

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