Send Us Your Medical Record
Are you a new patient of Dr. Mendelssohn's?
Please send us your medical record from your previous doctor.
Download the
R
elease
Form
:
click here to download the form
Print the form
.
C
omplet
e
the form
and
m
ail it to
y
our previous doctor
.
Allow
30 days
for
y
our doctor to send us your record.
P
roblems opening the form?
Make sure you have
Adobe Acrobat Reader
installed on your computer.
Andrea Mendelssohn, MD, FACOG
Obstetrics & Gynecology