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1341 Medical Park Drive, Suite 201 Melbourne, Florida 32901 Phone: (321) 7689914 Fax: (321) 7220070MEDICAL RECORDS RELEASE You are entitled to a copy of your medical records once a year free of charge.
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Start by obtaining the form from the Atlantic Orthopaedic office or website.
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Read the instructions carefully to understand the information required.
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Begin filling out the form by providing your personal details such as name, address, and contact information.
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Move on to the medical history section and accurately fill in any past or current medical conditions or surgeries.
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If applicable, include details about any allergies or medications you are currently taking.
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Provide insurance information, if required, including policy number and primary care physician details.
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Review the completed form for any errors or missing information.
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Submit the form to the Atlantic Orthopaedic office by mail, fax, or in-person as instructed.
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