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FAQ: What is the best way for me to obtain a copy of my medical records?

Agnesian HealthCare features a printable Medical Release Form on its web site.

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Download (PDF, 81KB)

Completed forms can be faxed to (920) 926-8910 or mailed to:

Medical Records
Attention: Release of Information
420 E. Division Street
Fond du Lac, WI  54935

Your medical records will be sent to those you have designated within eight business days. For more information, call (920) 926-8328.

 

 

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2 Responses to FAQ: What is the best way for me to obtain a copy of my medical records?

  1. e1evation June 29, 2012 at 1:32 pm #

    How about adding the pdf here?

    • Danelle Phillips July 3, 2012 at 10:51 pm #

      Great idea. Will do.

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