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Puget Sound Spine & Sports Medicine

Puget Sound Spine & Sports MedicinePuget Sound Spine & Sports MedicinePuget Sound Spine & Sports Medicine
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    • Home
    • About
    • Treatments
    • Appointments & Scheduling
      • Request An Appointment
    • Contact & Directions
    • OnPatient Portal
    • FAQs

Puget Sound Spine & Sports Medicine

Puget Sound Spine & Sports MedicinePuget Sound Spine & Sports MedicinePuget Sound Spine & Sports Medicine
  • Home
  • About
  • Treatments
  • Appointments & Scheduling
    • Request An Appointment
  • Contact & Directions
  • OnPatient Portal
  • FAQs

The Release of Information (ROI) form below may be used to request your medical records from another healthcare provider.                       


  1. Download the Release of Information form using the link below.
  2. Fill in all sections of the form. Be specific about which records you would like sent. (For new patient appointment requests, we ask for 2-3 recent chart notes related to your concern.)
  3. Send the form to your healthcare provider's office. 


Release of Information (ROI) (pdf)

Download

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