Forms
Complete the following pages of the form and fax to (###) ###-#### [coming soon].
Forms coming soon
What do I need?
To properly obtain your medical records, including the slide to interpret your pathology specimen we need a records release form, HIPPA privacy statements, and some information about you.
Please complete all of the information to prevent delays in the processing of your second opinion.
Make sure the surgical procedure you are about to receive is appropriate or even necessary, get a second opinion.