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RECORD RELEASE FORM

Upon receipt of your record request, our team will send you an invoice for the cost of retrieving and sending your records.

Once payment is received, your records will be placed in the mail.

 

To expedite this process, please call or text us at (215) 487-2500 to arrange a time to pick up your records during our office hours Monday – Friday.

Office Hours

Monday
8:30 – 11:00 am
2:15 – 6:15 pm

Tuesday
8:30 – 11:00 am

Wednesday
8:30 – 11:00 am
2:15 – 6:15 pm

Thursday
8:30 – 11:00 am
2:15 – 6:15 pm

Friday
8:30 – 11:00 am

Saturday & Sunday
Closed

© 2021 Summit Spine & Wellness | (215) 487-2500
8151 Ridge Ave., Philadelphia, PA 19128