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Medical Records Release


Medical records provide a written history of your health condition and treatment and are an important part of your healthcare. They are used by physicians and medical specialists to assure an effective, comprehensive healthcare plan and to avoid needless and costly duplication of efforts or even dangerous contraindications of medications or medical treatments.

To request the release of your medical records from our practice: To yourself or to another healthcare provider, please download, print and complete the form below, then fax or mail it to us at:

Associates in Dermatology
PO Box 690609
Orlando, FL 32869
Fax: (321) 206-5419

NOTE: You may also drop off your request at any of our fifteen Orlando dermatology offices.

Medical Records Release (PDF)

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I recently saw Annette at the Altamonte office for a skin screening. I was greeted by Carol, who was very pleasant and upbeat. She made me feel at ease from the moment I walked in and explained the paperwork and co-pay questions I had. My appointment was at 9:30am and Annette's nurse called me back at 9:35am. I was pleasantly surprised that my appointment was on time. Not that I would have minded waiting, since that is normally how that goes at a doctor's office. The medical assistant was very professional, explained procedures and answered any questions I had with knowledge. Annette is a very smart and detail oriented person, she was very pleasant to talk to and answered my questions and concerns. She gave me information brochures, samples of creams and I left with a good peace of mind. I felt that all of my concerns were addressed and Annette listened to all of my concerns. I would highly recommend this office to everybody. It is a great team, the have a great work ethic and dynamic going on! Thank you all for a great experience.

— Carol G.

Fill out the form below to contact us or call us at 800.827.7546.

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Upon submission, a representative will contact you during normal business hours to confirm your request.

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