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LYNDON PEDIATRIC ASSOCIATES, LLP (6851 EAST GENESES STREET FAYETTEVILLE, NY 13066 1087 (315) 446 4580 Faxes: 446 3426MEDICAL RECORDS RELEASE I authorize Lyndon Pediatric Associates to send obtain

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1. Start by accessing the website static11sqspcdncomstaticfmedical records release.
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4. Open the downloaded document using a PDF reader or word processing software.
5. Fill out the document by providing your personal information such as name, date of birth, and contact details.
6. Provide the necessary details about the healthcare provider or institution from where you want to release the medical records.
7. Read and understand any terms, conditions, or instructions mentioned in the document.
8. Check for any additional sections or questions that require your input, such as reason for the medical records release.
9. Double-check all the information you have provided to ensure accuracy and completeness.
10. Save a copy of the filled-out document for your records, if required.
11. Print the document if a physical copy is needed or submit it electronically as per the instructions provided by the healthcare provider or institution.

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1. A medical records release form may be needed by individuals who:
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Static11sqspcdncomstaticfmedical records release is a form used to request the release of an individual's medical records.

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