Request a Copy of My Medical Record
Follow these steps:
Follow these steps:
 | Download the Transfer Request Form: click here to download the form |
| Print the form. |
| Complete the form and mail it to the address on the form. |
| Allow 30 days for processing. |
- Problems opening the form?
Make sure you have Adobe Acrobat Reader installed on your computer.
| Andrea Mendelssohn, MD, FACOG Obstetrics & Gynecology |
