Records Requests

Medical Release Form

To request medical records from another primary care professional (PCP)

Request to transfer to a different PCP

Request to transfer to a different Primary Care Professional ( PCP) at Northwest Pediatrics

Solicitud de autorización a un profesional de atención primaria (PCP) diferente

Solicitud de autorización y consentimiento a un profesional de atención primaria (PCP) diferente en Northwest Pediatrics