ehr, emr, electronic medical record

Medical Records Transfer Form

Please fill out and review the Records Transfer Form

Date of Birth (xx/xx/xxxx)
20338 NW 2nd Ave, Miami, FL 33169, TEL (305)-770-1937, FAX (305)-770-1468
Please indicate from whom the Records will be coming from.
20338 NW 2nd Ave, Miami, FL 33169, TEL (305)-770-1938, FAX (305)-770-1468
Please indicate to whom we will be sending Records to.