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Medical Record Release Form
If you require information sent to another provider, please fill out the attached, Sign, date and email (thepeople@weboflifewc.com) or fax (801.531.8350) it to our office.
Medical Record Release Form.pdf
File Size: 78 kb
File Type: pdf
Download File

  • Home
    • Who we are
    • About Dr. Mangum
  • Insurance & Office Policies
    • Fee Schedule
    • Filing Your Own Insurance Claim
    • Pre-Paid Lab Information
    • Medical Record Release Form
    • HIPPA Information
  • Patients
    • NEW Patients
    • Existing Patients
  • Supplements
  • Articles
  • Contact Us