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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 seventeen Orlando dermatology offices.

Medical Records Release (PDF)

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I...have been a very proud patient that has referred friends, Business Associates and fellow Rotarians all these past 20 years...Dr Michael’s love of his profession comes out in every conversation, his enthusiasm and up to date knowledge of his industry was very noticeable in his conversations with his Team Members today, while sharing the latest break through Technologies with me...They say “When you go to work because you love your profession, It Shows,“ it sure showed today!

— Sonny B

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Fill out the form below to contact us.

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

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