MEDICAL RELEASE FORM

Prepare for your visit to South Coast Dermatology & Cosmetic Center

REQUEST MEDICAL RECORDS

Patients may request a copy of their medical records in one of the following ways:


  1. Through our Secure Patient Portal below.
  2. By completing a Medical Release Form below.
  3. Return the Medical Release Form below to South Coast Dermatology:


  • By mail
  • By fax
  • In person


The cost of medical records ranges from $10 to $50, depending on the file size and method of delivery.


For more information do not hesitate to get in touch with our office.

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