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 out the form  completely and mail it to 

Dr. Diane Danis

P.O. 94080

Pasadena, CA  91109

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

All Medical records will be sent by mail ONLY. 



 

Medical Records Release Form

Authorization to release information (edited version)(1) (docx)Download

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