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Medical Records Release Forms in English & Spanish

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Medical Records Release Forms

Download Kind Clinic’s Records Release Form to request your health records. Use this form to whenever you need to share your Kind Clinic health records with another health practice or provider.  Simply clinic on either the English or Spanish forms below to begin to download.

Have Questions? Call Us!

If you have any question and would like additional help, give us a call at 833.WE.R.KIND.  We’re happy to help!

Kind Clinic Medical Records Release Form - English
Kind Clinic Planilla De Publicacion de Registros Medicos