James Madison University
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Medical Records Release Form

A *Health Information Release form (PDF format) must be signed prior to releasing any patient information. A new form must be signed at each visit.

NOTE: An asterisk before a link indicates an Adobe file in the .pdf format. The Adobe Acrobat Reader is available for free download by clicking on the link below:

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James Madison University
PUBLISHER: Health Center, MSC 7901, Harrisonburg, VA 22807 - PHONE: (540) 568-6178 - FAX: (540) 568-7803
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Last Modified: 4/25/2008