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Record Release

New patients to the practice will need to sign a Healthelink consent form.

This will allow your physician to pull necessary medical records for review prior to your appointment.

 

This form can be downloaded here.

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Patients that are transferring care will need to fill out a record release.

 

This form can be downloaded here.

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Please fill out this form and return a signed copy to Northtowns Cardiology and we will send your records to the provider as requested. 

Phone (716) 580-3810

Fax (716) 932-7094

190 Maple Road, Amherst, NY 14221

©2021 Northtowns Cardiology

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