CC4PM’s Response to COVID-19 – Learn More

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Record Release Forms
FOR OUR PATIENTS

Record Release Forms

To release your records to another medical facility, please download the form below.

Record Release Form
Payment Options

Visa, Mastercard, cash, or personal checks

Appointments

8:00 am to 5:00 pm Monday–Friday
Call for evening and Saturday hours, along with after-hours emergency policies.

Emergencies

Office: 419-843-1370
Emergencies handled by our answering service (Medi-Tas).

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