Fill out a Release Request Form (download printable PDF file here)
- For Personal Use. if you are the minor’s Legal Guardian or you arealready 18 years older ( Personal ID or DL must be presented)..
- Transfering to another Dr. ( have your new Provider request The Records for you Free of Charges).
- For Second Opinion = Not leaving NFP, please Mark or print: ” second opinion” to avoid being discharge by mistake.
Download Form Now!