{"id":63,"date":"2019-06-13T14:57:57","date_gmt":"2019-06-13T14:57:57","guid":{"rendered":"http:\/\/www.pmapc.com\/?page_id=63"},"modified":"2023-11-03T18:14:46","modified_gmt":"2023-11-03T18:14:46","slug":"medical-record-requests","status":"publish","type":"page","link":"https:\/\/www.pmapc.com\/resources\/medical-record-requests\/","title":{"rendered":"Medical Records & Prescription Requests"},"content":{"rendered":"

Medical Records Requests<\/span><\/b> <\/span><\/p>\n

Any request for copies of Medical Record will be subject to the following terms:<\/span> <\/span><\/p>\n

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  1. A Request for Records form must be completed<\/a> and signed by the legal guardian\/parent of the patient<\/span> <\/span><\/li>\n
  2. Patients age 18 and above themselves are legally responsible for completion of forms and the terms associated with the Request for Records.<\/span> <\/span><\/li>\n
  3. A $25 fee will be charged for completion of all other forms: medical leave of absence, disability, repeated requests for forms.<\/span> <\/span><\/li>\n<\/ol>\n

    Please call Pediatric Medical Associates New Haven<\/a> today or fill out the form below once the request form has been completed.<\/p>\n\n

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