Thank you for filling out the form!

Please remember to print out our Records Release form and fax it to the appropriate office below:

NOTE: WHEN THIS FORM IS COMPLETED, PLEASE FAX IT TO GREENWOOD PEDIATRICS. WE WILL GIVE YOU A CALL TO ANSWER ANY QUESTIONS YOU MAY HAVE ABOUT OUR PRACTICE AND THEN WE WILL SEND THIS FORM TO YOUR FORMER PEDIATRICIAN ON YOUR BEHALF TO REQUEST YOUR CHILD’S MEDICAL RECORD.

THANK YOU.

SOUTHWEST FAX: 303-904-8510 CENTENNIAL FAX: 303-694-2680 PARKER FAX: 303-805-8076
Learn more about managing your child's illness.
Copyright © 2017 Greenwood Pediatrics. All rights reserved.
Secure Forms