Swarts Pediatrics

Sorry we are permanently closed.

Swarts Pediatrics

PO Box 953, Springboro, OH 45066

medicalrecords@swartspediatrics.com Fax 937-350-5109

Medical Records Release Form

Please email back a completed medical records release form which can be found on www.swartspeds.com or www.swartspediatrics.com. Please include the person’s name, address, phone and, if available, fax number where you would like the records sent. Thank you.

Envíe por correo electrónico un formulario de liberación de registros médicos completo que se puede encontrar en www.swartspeds.com or www.swartspediatrics.com. Incluya el nombre, la dirección, el teléfono y, si está disponible, el número de fax de la persona donde desea que se envíen los registros. Gracias.

If you choose, you may opt to have your child's record sent via email. However, this is not HIPAA compliant and as such leaves the information unprotected as soon as it is sent.

Swarts Pediatrics Medical Records Authorization Form (pdf)

Download

Swarts Pediatrics is permanently closed.

Sorry we are permanently closed.

For medical records, please complete the following form and send by submitting the information below or sending it to either the PO Box, email address or fax number listed to the right. The release form is available further down on the website. Please provide a separate release form for each child.

Swarts Pediatrics

Medical Records Release Form

Swarts Pediatrics is permanently closed.

Sorry we are permanently closed.

For medical records, please complete the following form and send by submitting the information below or sending it to either the PO Box, email address or fax number listed to the right. The release form is available further down on the website. Please provide a separate release form for each child.

Swarts Pediatrics

Medical Records Release Form

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