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Record Release

Below are links to our Record Release Forms. You can click whichever applies to you, print it out, fill it in, and mail/fax/drop off the form along with the appropriate fee amount (See the Policies page for pricing)

Records Release BY Valley Medical Center (size:81.6KB)

Records Release TO Valley Medical Center (size:72.6KB)
(this would be given to whomever would be sending us the records)

Referral
Prescription
Record Release
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