Patient Forms
Request for Release of Medical Records
Use this form to request that your medical records be sent to another provider or facility.
Release of
Medical Records
Complete this form to authorize the transfer of your medical records to Allergy & Asthma, P.C.
Patient Consent to Disclose Medical Information
This form allows you to give written consent for your health information to be shared with a designated individual or organization.
Need Help With Your Forms?
If you have any questions about which form to complete or need assistance filling them out, please call our office at 248-626-5315 and our staff will be happy to help.
