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Medical Records Release


Medical records provide a written history of your health condition and treatment and are an important part of your healthcare. They are used by physicians and medical specialists to assure an effective, comprehensive healthcare plan and to avoid needless and costly duplication of efforts or even dangerous contraindications of medications or medical treatments.

To request the release of your medical records from our practice: To yourself or to another healthcare provider, please download, print and complete the form below, then fax or mail it to us at:

Associates in Dermatology
PO Box 690609
Orlando, FL 32869
Fax: (321) 206-5419

NOTE: You may also drop off your request at any of our fifteen Orlando dermatology offices.

Medical Records Release (PDF)

You will need Adobe Acrobat Viewer in order to view these documents. If you do not have Adobe Acrobat Viewer, click here to download it for free.

I have been going to Jenny, the paramedical esthetician, at the Dr. Phillips location for over a year now. She is the best! Very friendly and knowledgeable. She has helped me through electrolysis with quite a bit of unwanted hair on my face. It is a commitment to do it right, but I have been very happy with the results. I have also used her for facial chemical peels. She is great with both. I highly recommend seeing Jenny!

— Christine F.

Fill out the form below to contact us or call us at 800.827.7546.

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