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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