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Patient Forms

Release Of Patient Information

Posted on 08-06-2019

Print and fill out this form for FMCH to release your patient information.

Consent to Release Information

Posted on 07-10-2019

Download this form if you wish to fill out the Consent to Release Information. This form is also available at FMCH. Health records can be picked up in FMCH Health Information Services, located in the Business Center - East end, lower level.

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