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Medical Records Release Form

Please fill out the Medical Release Form, to allow us to retrieve your medical records from your other physicians. 

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ENT doctor exam
Ear, Nose, Throat (ENT)
 Couple sleeping on white bed
Sleep Apnea & Snoring
 Woman holding bridge of nose in discomfort
Sinus
 Woman blowing nose outside
Allergy
 Woman touching her neck
Thyroid & Parathyroid
 Woman rubbing back of her neck
Head & Neck Cancer
 Woman having ear exam
Hearing
 Pediatric ENT Exam
Pediatric ENT
 Young woman with face marked up for plastic surgery
Facial Plastic Surgery – Cosmetic
 Woman being prepped for plastic surgery
Facial Plastic Surgery - Reconstructive