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    • Home
    • About Us
      • Eleanor Sullivan
    • Record Release Form
      • Record Release
    • Patient Portal
  • Home
  • About Us
    • Eleanor Sullivan
  • Record Release Form
    • Record Release
  • Patient Portal

RECORD RELEASE FORM

When transferring care to a new provider you will need to send to us a completed record release form.  You may download, print, and fill out the form below prior to your visit to your new provider so that we may send them your records. You can mail form to Cape Cardiology PO Box 12, Centerville MA 02632 or email at admin@capecardiology.com

Record Release (pdf)Download

125 UNDERPASS ROAD, BREWSTER, MA 02631   TELEPHONE: (508) 876-3777   FAX:  (888) 275-9498

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