Diane M. Danis, M.D., M.P.H.
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Diane M. Danis, M.D., M.P.H.
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If your child has been a patient of Dr. Danis and you would like a copy of his or her medical Records, please print a copy of the Release of Medical Records form using the button below, fill it out completely and e-mail it to dr@danismd.com.

Please note that it may take up to 6 weeks for the Medical records to be sent.

All Medical records will be sent electronically ONLY. If the provider you wish to receive the records does not have a secure e-mail, the records will be sent to you (parent) via secure e-mail. An e-mail will be sent to you explaining how the secure e-mail works.



 DR@DANISMD.COM 

Medical Records Release Form

Authorization to release information (docx)Download

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