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Please use this form if you are an active patient of TLC Pediatrics only. With this request you will be receiving : the active problem list, current medications, allergies and lab results.

If you need us to transfer your child’s information to another office, please complete a medical records release form indicating the office we are to forward the record to.

There is a $10.00 fee for processing of this request. Once your request is processed, the password to open the electronic data will be emailed to you and the CD can then either be picked up in the office or will be mailed to your home address.

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