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Lawrence Internal Medicine, P.A.

~Building on a History of Quality Medical Care~ Appointments Call: (785) 842-7200

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Medical Record -Request Forms
 
These form are PDF files and can be downloaded and printed with the PDF reader available at: http://get.adobe.com/reader/
 
 
Request Records be sent to our office (single page form): RELEASE OF RECORDS TO  Lawrence Int. Med.pdf
 
Request Records be sent from our office (two pages included):  RELEASE OF RECORDS FROM Lawrence Int. Med.pdf
 
 
 
 June 12, 2015