New patients registration forms
New patients registration forms
Registration
Registration.pdf
Adobe Acrobat document [482.5 KB]
Medical records release information form
Medical records release information form
Medrec+auth
Medrec+auth.pdf
Adobe Acrobat document [38.4 KB]

If you are requesting medical records from our office for (life insurance, Attorney, Health Plan, Disability) we will be charging a fee of $25 the cost of copying and clerical costs. If you have any questions regarding medical records law, please go to "The Medical Board of California" website (www.mbc.ca.gov/Cosumers/Access_Records.aspx).

If you are requesting medical records from our office to your new primary care physician or continuity care of another specialist physician is considered a matter of "Professional Courtesy" and it we be free of charge. We will directly mail your medical records to your new primary care physician information provided by you. If you have any questions regarding medical records law, please go to "The Medical Board of California" Website (www.mbc.ca.gov/Consumers/Access_Records.aspx).

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Copyright 2012 by Kyi Kyi Thwin Win MD Inc