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Get Medical Records Release Form - Pediatric Clinic, PA

Pediatric Clinic, P.A. Gerald A. Stagg, MD, FAAP Joel D. Chapman, MD, FAAP J. Colton Bradshaw, MD, FAAP Marc E. Kimball, MD, FAAP 2001 N. Jefferson Suite 300 Mt. Pleasant, TX 75455 Phone (903) 572-9823.

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  1. Click the orange Get Form button to begin editing.
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  6. Click the Sign button and create an e-signature. You can find three available choices; typing, drawing, or capturing one.
  7. Make sure that each and every area has been filled in properly.
  8. Click Done in the top right corne to save and send or download the record. There are many ways for receiving the doc. An attachment in an email or through the mail as a hard copy, as an instant download.

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